Active NPI
Shivani P.J. Segan, M.D.
- Anesthesiology Physician
- Fort Worth, TX
National Provider Identifier
1932369964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- Q2618
- Practice address
- 3023 S University Drive
Ste 135
Fort Worth, TX 76109 - Phone
- (682) 582-7001
- Fax
- (682) 224-8932
- NPI assigned
- Jun 12, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD.205217 | LA | |
| Anesthesiology Physician | 207L00000X | TP398 | KY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | Q2618 | TX | Primary |
Addresses
Primary practice location
3023 S University Drive
Ste 135
Fort Worth, TX 76109
Mailing address
3023 S University Drive
Ste 135
Fort Worth, TX 76109
Phone (682) 582-7001
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1106542 | Medicaid | LA | |
| 01751762 | Medicaid | MS |
Other names 1
- Shivani P Jayaswal
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
- Anesthesiology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3901 W 15TH St
Greater Houston Anesthesiology
Plano, TX 75075-7738
Phone (972) 519-1115
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP398 | KY | MD | Anesthesiology Physician |
| MD.205217 | LA | MD | Anesthesiology Physician |
| Q2618 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matt T. Gubert, PA | Anesthesiology | Past | Accepting new patients |
| Allied Anesthesia Associates, LLP | Anesthesiology | Past | Accepting new patients |
| Minerva Labs LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Houston, TX
- NPI 1548208564
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1467750380
-
- Anesthesiology Physician
- Plano, TX
- NPI 1336184845
-
- Clinical Medical Laboratory
- Southlake, TX
- NPI 1053112938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1932369964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3023 S UNIVERSITY DRIVE",
"address_2": "STE 135",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76109",
"telephone_number": "682-582-7001",
"fax_number": "682-224-8932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3023 S UNIVERSITY DRIVE",
"address_2": "STE 135",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76109",
"telephone_number": "682-582-7001",
"fax_number": "682-224-8932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGAN",
"first_name": "SHIVANI",
"middle_name": "P.J.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-12",
"last_updated": "2020-09-21",
"certification_date": "2020-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "LA",
"license": "MD.205217",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "KY",
"license": "TP398",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "Q2618",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1106542",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01751762",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHIVANI",
"last_name": "JAYASWAL",
"middle_name": "P",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.