Organization Active NPI

Raj Shiwach, MD, PA

  • Psychiatry Physician
  • Desoto, TX
National Provider Identifier
1750589016
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
K2288 Issued in TX
Legal business name
RAJ SHIWACH, MD, PA
Practice address
941 York Dr
Ste 200
Desoto, TX 75115-2066
Phone
(214) 884-5601
Fax
(214) 452-3060
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Authorized official

Name
Sherri Smith
Title
Accountant
Phone
(469) 964-6827

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X K2288 TX Primary
Adult Mental Health Clinic/Center 261QM0850X K2288 TX

Addresses

Primary practice location

941 York Dr
Ste 200
Desoto, TX 75115-2066

Mailing address

941 York Dr
Ste 200
Desoto, TX 75115-2066
Phone (214) 884-5601

Other identifiers 1

IdentifierTypeStateIssuer
1408171-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080307000607 TX Part B Supplier - Clinic/Group Practice 4587744560 Receives reassigned benefits from 13 practitioners
Practice locations: Desoto, TX

National Provider Directory

National Provider Directory
Part of
Rajshiwach MD PA

Locations

941 York Dr
Ste 205
Desoto, TX 75115
Phone (972) 283-6286

3372 Garden Brook Dr
Farmers Branch, TX 75234

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1750589016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 YORK DR",
            "address_2": "STE 200",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152066",
            "telephone_number": "214-884-5601",
            "fax_number": "214-452-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 YORK DR",
            "address_2": "STE 200",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152066",
            "telephone_number": "214-884-5601",
            "fax_number": "214-452-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJ SHIWACH, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "469-964-6827"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "K2288",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TX",
            "license": "K2288",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1408171-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.