Active NPI
Andrey Shalomov, M.D., M.P.H.
- Psychiatry Physician
- Killeen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- S6040
- Practice address
- 1103 N Gray St
Killeen, TX 76541-3420 - Phone
- (254) 774-1163
- Fax
- (833) 464-5455
- NPI assigned
- Mar 31, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | S6040 | TX | |
| Psychiatry Physician | 2084P0800X | S6040 | TX | Primary |
Addresses
Primary practice location
1103 N Gray St
Killeen, TX 76541-3420
Mailing address
1103 N Gray St
Killeen, TX 76541-3420
Phone (254) 774-1163
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1103 N Gray St
Killeen, TX 76541-3420
Phone (254) 774-1163
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S6040 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A&L Solutions | Multi-Specialty | Current | Accepting new patients |
| Health and Human Services Commission | Current | Accepting new patients | |
| Insight Health Solutions PLLC | Multi-Specialty | Current | Accepting new patients |
| Tri-County Clinical | Multi-Specialty | Current | Accepting new patients |
| Health and Human Services Commission | Multi-Specialty | Current | Accepting new patients |
| The Gulf Coast Center | Multi-Specialty | Current | Accepting new patients |
| Tri-County Clinical | Multi-Specialty | Current | Accepting new patients |
| The Center for Child and Family Psychiatry, PC | Multi-Specialty | Current | Accepting new patients |
| Health and Human Services Commission | Multi-Specialty | Current | Accepting new patients |
Locations
2501 Maple St
Abilene, TX 79602
Phone (325) 692-4053
3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017
3011 N Main St
Unit B
Belton, TX 76513
Phone (254) 307-2495
4001 Highway 36 S
Brenham, TX 77833
Phone (979) 277-1327
300 N 10th St
Unit 11
Killeen, TX 76540
1103 N Gray St
Killeen, TX 76541
Phone (254) 774-1163
300 N 10th St
Killeen, TX 76541
300 N 10th St
#11
Killeen, TX 76541
4444 W Main St
League City, TX 77573
7510 FM 1765
Texas City, TX 77591
Phone (409) 935-6083
Interoperability endpoints
- andrey.shalomov.1@27185.direct.athenahealth.com
- andrey.shalomov.1@8363.direct.athenahealth.com
Organizations & group practices 10
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.
-
- Psychiatry Physician
- Killeen, TX
- NPI 1659012839
Multi-Specialty
-
- Clinical Neuropsychologist
- Harlingen, TX
- NPI 1356414692
Multi-Specialty
-
- Federally Qualified Health Center (FQHC)
- Brownsville, TX
- NPI 1740266444
-
- Intellectual Disabilities Intermediate Care Facility
- Mexia, TX
- NPI 1699869289
Multi-Specialty
-
- Psychiatric Hospital
- Big Spring, TX
- NPI 1881600682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1750813499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 N GRAY ST",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765413420",
"telephone_number": "254-774-1163",
"fax_number": "833-464-5455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 N GRAY ST",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765413420",
"telephone_number": "254-774-1163",
"fax_number": "833-464-5455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHALOMOV",
"first_name": "ANDREY",
"credential": "M.D., M.P.H.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-31",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TX",
"license": "S6040",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "S6040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.