Individual provider Active NPI

Pallavi Suseela Shamapant, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1750062303
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3000 N Interstate 35 Ste 700
Austin, TX 78705-1852
Phone
(512) 807-3150
NPI assigned
Jul 27, 2023
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

3000 N Interstate 35 Ste 700
Austin, TX 78705-1852

Mailing address

3000 N Interstate 35
Austin, TX 78705-1804
Phone (512) 544-2342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240108004059 TX Practitioner - Physician Assistant 2961853510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Davids Heart and Vascular PLLCGroup PAC ID 7012821879, 197 clinicians

Practice addresses (Care Compare)

12221 N Mopac Expressway
North Austin Med Ctr
Austin, TX 78758-2401
Phone (512) 901-4001

12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-4001

1900 Scenic Dr
Georgetown, TX 78626-7876

3801 N Lamar Blvd
Austin, TX 78756-4080

901 W Ben White Blvd
Austin, TX 78704-6903
Phone (512) 447-2211

919 E 32ND St
Austin, TX 78705-2703
Phone (512) 476-7111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. David's Specialized Women's Services, PLLC PastSince Feb 4, 2024 Accepting new patients

Organizations & group practices 2

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1750062303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N INTERSTATE 35",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051804",
            "telephone_number": "512-544-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N INTERSTATE 35 STE 700",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051852",
            "telephone_number": "512-807-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMAPANT",
        "first_name": "PALLAVI",
        "middle_name": "SUSEELA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2024-01-31",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.