Active NPI
Malan Tara Shiralkar, MD
- Gastroenterology Physician
- Salt Lake City, UT
National Provider Identifier
1972921658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 10337763-1205
- Practice address
- 50 N Medical Dr
Salt Lake City, UT 84132-7232 - Phone
- (801) 585-0553
- NPI assigned
- Mar 31, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 10337763-1205 | UT | Primary |
Addresses
Primary practice location
50 N Medical Dr
Salt Lake City, UT 84132-7232
Mailing address
30 N 1900 E RM 4R118
Salt Lake City, UT 84132-0001
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
- Gastroenterology
- Education
- Baylor College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
915 Gessner Rd
Suite 850
Houston, TX 77024-2556
Phone (713) 461-1026
Hospital & facility affiliations
- Memorial Hermann Memorial City Hospital
- Memorial Hermann Katy Hospital
- Houston Methodist West Hospital
- Memorial Hermann - Texas Medical Center
- Memorial Hermann Rehabilitation Hospital Katy
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 46 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 46 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10337763-1205 | UT | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digestive & Liver Specialists | Gastroenterology | Current | Accepting new patients |
Locations
915 Gessner Rd
Ste 850
Houston, TX 77024
Phone (713) 461-1026
Interoperability endpoints
- https://api.platform.athenahealth.com/20622/brand/1/csg/1/fhir/r4
- malan.shiralkar.1@20622.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Gastroenterology Physician
- Houston, TX
- NPI 1619942778
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Houston, TX
- NPI 1437189115
Hospital
-
- General Acute Care Hospital
- Houston, TX
- NPI 1740233782
-
- General Acute Care Hospital
- Katy, TX
- NPI 1932152337
-
- General Acute Care Hospital
- Houston, TX
- NPI 1982666111
-
- Rehabilitation Hospital
- Katy, TX
- NPI 1043457583
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498780800000",
"number": "1972921658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 N 1900 E RM 4R118",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841320001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 N MEDICAL DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841327232",
"telephone_number": "801-585-0553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRALKAR",
"first_name": "MALAN",
"middle_name": "TARA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-31",
"last_updated": "2017-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "UT",
"license": "10337763-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; 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.