Active NPI
Punita Shah, M.D.
- Pediatrics Physician
- Plano, TX
National Provider Identifier
1952453441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- L7554
- Practice address
- 6300 Stonewood Dr
Suite 206
Plano, TX 75024-5280 - Phone
- (972) 769-8700
- Fax
- (972) 769-8728
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | L7554 | TX | Primary |
Addresses
Primary practice location
6300 Stonewood Dr
Suite 206
Plano, TX 75024-5280
Mailing address
6300 Stonewood Dr
Suite 206
Plano, TX 75024-5280
Phone (972) 769-8700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1624991-04 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurosurgeons for Children, P.a. | Past | Accepting new patients | |
| Acs Primary Care Physicians Southwest, PA | Past | Accepting new patients | |
| Health Services of North Texas, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Gainesville, TX
- NPI 1538101019
-
- Family Medicine Physician
- Denton, TX
- NPI 1235154824
-
- Specialist
- Dallas, TX
- NPI 1972629400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396828800000",
"number": "1952453441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 STONEWOOD DR",
"address_2": "SUITE 206",
"city": "PLANO",
"state": "TX",
"postal_code": "750245280",
"telephone_number": "972-769-8700",
"fax_number": "972-769-8728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 STONEWOOD DR",
"address_2": "SUITE 206",
"city": "PLANO",
"state": "TX",
"postal_code": "750245280",
"telephone_number": "972-769-8700",
"fax_number": "972-769-8728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "PUNITA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2014-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "L7554",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1624991-04",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.