Shivam Medical Group, PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

L2392 Issued in TX

Legal business name

SHIVAM MEDICAL GROUP, PA

Practice address

8518 Culebra Road
Suite 107
San Antonio, TX 78251

Phone

(210) 910-5550

Fax

(210) 971-9077

NPI assigned

May 25, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nishi Thakur, MDNPI 1871584078

Title

Provider

Phone

(210) 910-5550

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12010/brand/1/csg/1/fhir/r4

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nishi Thakur, MD

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1871584078
  Medicare reassignment Care Compare group NPD Authorized official
• Sanjay Kumar, MD

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1174518633
  Medicare reassignment Care Compare group NPD
• Juan Jose Ivan Chavez Jr., MSN-FNP-BC

  • Family Nurse Practitioner
  • Live Oak, TX
  • NPI 1447995733
  Medicare reassignment NPD
• Jennifer Gamez Galindo, FNP-C

  • Nurse Practitioner
  • San Antonio, TX
  • NPI 1912414277
  Medicare reassignment NPD
• Sarah Alexandra Hessling, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Universal City, TX
  • NPI 1659002103
  Medicare reassignment NPD
• Ilene A Hoyos, NP

  • Primary Care Nurse Practitioner
  • San Antonio, TX
  • NPI 1427920578
  Medicare reassignment NPD
• Laura Morriss Koen, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1457171399
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1699112052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8518 CULEBRA ROAD",
            "address_2": "SUITE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78251",
            "telephone_number": "210-910-5550",
            "fax_number": "210-971-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8518 CULEBRA ROAD",
            "address_2": "SUITE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78251",
            "telephone_number": "210-910-5550",
            "fax_number": "210-971-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIVAM MEDICAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-25",
        "last_updated": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "THAKUR",
        "authorized_official_first_name": "NISHI",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "210-910-5550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "L2392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kobe Shirley
• Gautam Shirodkar, BDS MS
• Katie Shiroma
• Valerie Fisher Shiu, MD
• Shiva Izaddoust D.D.S. P.a.
• Bhargavi Shivaprasad
• Lilliana Nissa Shivley, RBT
• Ayham F Shneker, MD
• Bridgette Shockey, LCSW
• Ciara Nicole Shockey, LVN

• Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.