Individual provider Active NPI

Sandeep Anil Shah, MD

  • Diagnostic Radiology Physician
  • Austin, TX
National Provider Identifier
1902821259
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M6387 Issued in TX
Practice address
12554 Riata Vista Cir
Austin, TX 78727-6431
Phone
(512) 795-5100
Fax
(512) 795-5122
NPI assigned
Jul 13, 2006
Last updated
Dec 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X M6387 TX Primary
Diagnostic Radiology Physician 2085R0202X MD61484732 WA
Diagnostic Radiology Physician 2085R0202X 051845 GA

Addresses

Primary practice location

12554 Riata Vista Cir
Austin, TX 78727-6431

Mailing address

12554 Riata Vista Cir
Austin, TX 78727-6431
Phone (512) 795-5100

Other practice location 1

203 S Western Ave
Tonasket, WA 98855-8803
Phone (509) 486-2151

Other identifiers 1

IdentifierTypeStateIssuer
186428201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070828000827 TX Practitioner - Diagnostic Radiology 5193739696 Reassigns benefits to 8 organizations
I20231227002376 WA Practitioner - Diagnostic Radiology 5193739696 Reassigns benefits to 8 organizations
I20251205004123 CA Practitioner - Diagnostic Radiology 5193739696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical Branch at Galveston, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swedish Health ServicesGroup PAC ID 3173433067, 156 clinicians
Austin Radiological AssociationGroup PAC ID 4880686179, 126 clinicians
Okanogan County Public Hospital Dist No 4Group PAC ID 9335051150, shared by 4 NPIs, 43 clinicians
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians
Radia Oregon Radiology Medical Group LLCGroup PAC ID 2961852637, 122 clinicians
Evergreen Radia LLCGroup PAC ID 4587568076, 116 clinicians
Radia California Radiology Medical Group IncGroup PAC ID 8921465998, 134 clinicians
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians

Practice addresses (Care Compare)

13020 Meridian Ave S
Everett, WA 98208-6468
Phone (425) 357-3960

1348 N Hwy 123
Suite B
San Marcos, TX 78666-7848
Phone (512) 392-1831

203 S Western Ave
Tonasket, WA 98855-8803
Phone (509) 486-2151

515 Minor Ave
Suite 110
Seattle, WA 98104-2145
Phone (206) 386-9699

7804 Texas Plume Rd
Austin, TX 78759-6030
Phone (425) 563-1500

810 Jasmine St
Omak, WA 98841-9578
Phone (509) 826-1760

9801 Frontier Ave SE
Snoqualmie, WA 98065-5200
Phone (425) 831-2313

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bluebonnet Imaging Center, LLC CurrentSince Jan 1, 2026 Accepting new patients
Ara/St. David's Imaging, LP CurrentSince Jul 9, 2007 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Jan 1, 2024 Accepting new patients
Austin Radiological Association CurrentSince Jul 9, 2007 Accepting new patients
Louisiana Pet/CT Imaging of Lake Charles. LLC CurrentSince Jan 1, 2026 Accepting new patients
Ara/St. David's Imaging, LP CurrentSince Jul 9, 2007 Accepting new patients
Ascension Open MRI, LLC. CurrentSince Jan 1, 2026 Accepting new patients
River Bend Imaging LLC CurrentSince Jan 1, 2026 Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Jan 1, 2024 Accepting new patients
M. R. Imaging Systems, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Ara/St. David's Imaging, LP CurrentSince Sep 27, 2010 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Jun 7, 2024 Accepting new patients
Central Imaging Center, LLC CurrentSince Jan 1, 2026 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Feb 13, 2024 Accepting new patients
Ara/St. David's Imaging, LP CurrentSince Jul 9, 2007 Accepting new patients
Medford Radiological Group, PC Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
Swedish Health Services CurrentSince May 8, 2024 Accepting new patients
Radia California Radiology Medical Group Inc Diagnostic Radiology CurrentSince Feb 13, 2024 Accepting new patients
Monterey Bay Oncology a Medical Corporation CurrentSince Nov 3, 2025 Accepting new patients
Radia Oregon Radiology Medical Group LLC Diagnostic Radiology CurrentSince Mar 3, 2024 Accepting new patients
Ark-la-Tex Diagnostics, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Swedish Health Services CurrentSince Jun 1, 2024 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jan 1, 2026 Accepting new patients
Okanogan County Public Hospital Dist No 4 Current Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Central Washington Health Services Association CurrentSince Jan 1, 2024 Accepting new patients
Swedish Health Services CurrentSince May 8, 2024 Accepting new patients
Northeast Imaging Center CurrentSince Jan 1, 2026 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Apr 15, 2025 Accepting new patients
Okanogan County Public Hospital District No. 3 CurrentSince Feb 14, 2024 Accepting new patients
Monterey Bay Oncology a Medical Corporation PastSince Nov 3, 2025 Accepting new patients
Public Hospital District No 4, King County Wa Family Medicine Past Accepting new patients

Locations (25 of 34)

5 Harris Ct
Bldg T
Monterey, CA 93940
Phone (408) 375-4105

19950 Rinaldi St
Ste 101B
Porter Ranch, CA 91326
Phone (818) 496-7517

26357 McBean Pkwy
Ste 155
Santa Clarita, CA 91355
Phone (661) 288-5940

121 Sotoyome St
Santa Rosa, CA 95405
Phone (707) 546-3141

925 Corporate Cntr Pkwy
Ste A
Santa Rosa, CA 95407
Phone (707) 543-2000

1301 W 38th St
Ste 118
Austin, TX 78705
Phone (512) 454-7380

12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462

5625 Eiger Rd
Ste 165
Austin, TX 78735
Phone (512) 519-3474

1301 Barbara Jordan Blvd
Ste 104
Austin, TX 78723
Phone (512) 480-0761

6818 Austin Center Blvd
Ste 101
Austin, TX 78731
Phone (512) 794-8505

4515 Seton Center Pkwy
Ste 105
Austin, TX 78759
Phone (512) 519-3402

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

11714 Wilson Parke Ave
Ste 175
Austin, TX 78726
Phone (512) 519-3457

901 W 38th St
Ste 100
Austin, TX 78705
Phone (512) 519-3462

12800 W Parmer Ln
Ste 200
Cedar Park, TX 78613
Phone (512) 485-7199

170 Benney Ln
Ste 101
Dripping Springs, TX 78620
Phone (512) 776-1176

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

4211 Benner
Ste 100
Kyle, TX 78640
Phone (512) 776-1150

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

12700 Lexington St
Unit 300
Manor, TX 78653
Phone (512) 776-1158

1348 N State Highway 123
Ste B
San Marcos, TX 78666
Phone (512) 392-1831

5656 Bee Caves Rd
Ste H200
West Lake Hills, TX 78746
Phone (512) 451-7407

Organizations & group practices 34

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.

View all 34

Hospital & facility affiliations 8

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1902821259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-795-5100",
            "fax_number": "512-795-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-795-5100",
            "fax_number": "512-795-5122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Tonasket",
            "state": "WA",
            "postal_code": "988558803",
            "country_code": "US",
            "telephone_number": "509-486-2151",
            "fax_number": "509-223-1640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SANDEEP",
        "middle_name": "ANIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "M6387",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD61484732",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "051845",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186428201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.