Individual provider Active NPI

Andrey Shalomov, M.D., M.P.H.

  • Psychiatry Physician
  • Killeen, TX
National Provider Identifier
1750813499
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
S6040 Issued in TX
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

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X S6040 TX
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220527002227 TX Practitioner - Psychiatry 2264774173 Reassigns benefits to 6 organizations

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

LicenseStateTypeSpecialty
S6040TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A&L Solutions Multi-Specialty CurrentSince Nov 9, 2025 Accepting new patients
Health and Human Services Commission CurrentSince May 15, 2023 Accepting new patients
Insight Health Solutions PLLC Multi-Specialty CurrentSince Aug 5, 2025 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 CurrentSince Dec 16, 2025 Accepting new patients
Tri-County Clinical Multi-Specialty CurrentSince Apr 14, 2024 Accepting new patients
The Center for Child and Family Psychiatry, PC Multi-Specialty CurrentSince Jul 1, 2022 Accepting new patients
Health and Human Services Commission Multi-Specialty CurrentSince May 15, 2023 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

  • Direct secure messaging: andrey.shalomov.1@27185.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.