Shivrudra PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

SHIVRUDRA PLLC

Practice address

4441 Long Prairie Rd Ste 100
Flower Mound, TX 75028-5410

Phone

(469) 933-2253

Fax

(469) 933-2254

NPI assigned

Mar 20, 2025

Last updated

Mar 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mehul Shah, DONPI 1184036378

Title

Ceo

Phone

(817) 789-5044

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mehul Shah, DO

  • Gastroenterology Physician
  • Lantana, TX
  • NPI 1184036378
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1841091360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 TERRACE DR",
            "city": "LANTANA",
            "state": "TX",
            "postal_code": "762266672",
            "telephone_number": "817-789-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 LONG PRAIRIE RD STE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750285410",
            "telephone_number": "469-933-2253",
            "fax_number": "469-933-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIVRUDRA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MEHUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-789-5044",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan Paul Shepard, DC
• Sherry Barnett MD PLLC (Flower Mound Allergy Asthma Center)
• Kerri Sherwood
• John C Shillingburg, D.D.S.
• Yong Shin
• Carey Shore, RD-LD
• Patrick William Shovlin III, MD
• Amber Showalter, M.S., LPC-INTERN, NC
• Shrirang S. Neurgaonkar MD PA
• SHTH Holdings 2015-1 (SHTH HealthCare, LLC)

• Gastroenterology Physician in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.