Shari McConville Kushwaha, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L7791 Issued in TX

Practice address

1670 Keller Pkwy
Suite 170
Keller, TX 76248-3702

Phone

(817) 741-4144

Fax

(817) 741-4154

NPI assigned

Jun 4, 2006

Last updated

Mar 20, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: skushwaha495174@direct.childrens.com

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.

• Star Surgical Services

  • Clinic/Center
  • Grapevine, TX
  • NPI 1700428331
  Authorized official Same address or phone
• Mansfield Pediatrics

  • Pediatrics Physician
  • Mansfield, TX
  • NPI 1972043487
  NPD (past)
• Shari Kushwaha, M.D., P.a.

  dba Dr. K's Kids Pediatrics

  • Pediatrics Physician
  • Keller, TX
  • NPI 1356530737
  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237507200000",
    "number": "1700824158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 KELLER PKWY",
            "address_2": "SUITE 170",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483702",
            "telephone_number": "817-741-4144",
            "fax_number": "817-741-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 KELLER PKWY",
            "address_2": "SUITE 170",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483702",
            "telephone_number": "817-741-4144",
            "fax_number": "817-741-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSHWAHA",
        "first_name": "SHARI",
        "middle_name": "MCCONVILLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2009-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L7791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kroger Texas L P (Kroger Pharmacy)
• Mark Krynski, LPC
• Jennelle Kucharski
• Kumar Hiremath DDS PA (Hiremath Orthodontics)
• Lara A Kunowski, FNP-C
• Shelby Kysar, M.A.
• Jorilyn La Selle, RBT
• Thuy-Trang Mai La, O.D.
• Ann Marie Labarge, M.A., CCC-SLP
• Magy Labib, PA-C

• Pediatrics Physician in Keller, TX
• Providers in Keller, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.