Active NPI
Avni Shah
- Pediatrics Physician
- Cedar Park, TX
National Provider Identifier
1700103926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- P7704
- Practice address
- 13625 Ronald W Reagan Blvd BLDG 6
Cedar Park, TX 78613-2073 - Phone
- (512) 336-2777
- NPI assigned
- Apr 28, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | P7704 | TX | Primary |
Addresses
Primary practice location
13625 Ronald W Reagan Blvd BLDG 6
Cedar Park, TX 78613-2073
Mailing address
3406 Whirlaway Dr
Northbrook, IL 60062-6363
Phone (773) 510-3682
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Health Partners PLLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- avni.shah.1@11316.direct.athenahealth.com
- https://api.platform.athenahealth.com/11316/brand/5/csg/1/fhir/r4
- avni.shah.2@11316.direct.athenahealth.com
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1700103926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3406 WHIRLAWAY DR",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600626363",
"telephone_number": "773-510-3682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13625 RONALD W REAGAN BLVD BLDG 6",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786132073",
"telephone_number": "512-336-2777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "AVNI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-28",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "P7704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.