NPIMap

Individual provider Active NPI

Advayanand Girish Shirsalkar, M.D.

  • Nephrology Physician
  • Houston, TX
National Provider Identifier
1700016789
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
Q0830 Issued in TX
Practice address
607 Timberdale LN
Suite 201
Houston, TX 77090-3049
Phone
(281) 440-3005
Fax
(281) 444-9070
NPI assigned
Jul 23, 2009
Last updated
Nov 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X Q0830 TX Primary

Addresses

Primary practice location

607 Timberdale LN
Suite 201
Houston, TX 77090-3049

Mailing address

607 Timberdale LN
Suite 201
Houston, TX 77090-3049
Phone (281) 440-3005

Other identifiers 1

IdentifierTypeStateIssuer
8EN668OtherTXBLUE CROSS BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address advayanand-shirsalkar@northhoustonnephrology.e-mdsdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141017002037 TX Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Neurology 7315168242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Pittsburgh School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Houston Nephrology and Diagnostic Associates PAGroup PAC ID 2769465053, 7 clinicians

Practice addresses (Care Compare)

607 Timberdale LN
Suite 201
Houston, TX 77090-3043
Phone (281) 440-3005

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Houston Nephrology & Diagnostic Associates PA Nephrology CurrentSince Sep 1, 2014 Accepting new patients

Locations

607 Timberdale Ln
Ste 201
Houston, TX 77090
Phone (281) 440-3005

2300 Green Oak Dr
Ste 500
Kingwood, TX 77339
Phone (281) 359-4433

17191 St Lukes Way
Ste 290
The Woodlands, TX 77384
Phone (281) 440-3005

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1700016789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 TIMBERDALE LN",
            "address_2": "SUITE 201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903049",
            "telephone_number": "281-440-3005",
            "fax_number": "281-444-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 TIMBERDALE LN",
            "address_2": "SUITE 201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903049",
            "telephone_number": "281-440-3005",
            "fax_number": "281-444-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRSALKAR",
        "first_name": "ADVAYANAND",
        "middle_name": "GIRISH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-23",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "Q0830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8EN668",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "advayanand-shirsalkar@northhoustonnephrology.e-mdsdirect.com",
            "affiliation": "N",
            "address_1": "607 Timberdale Ln",
            "address_2": "Suite 201",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770903049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.