Rajinder Shiwach, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

K2288 Issued in TX

Practice address

941 York Drive Ste 205
Desoto, TX 75115-2242

Phone

(972) 283-6286

Fax

(214) 217-4819

NPI assigned

Jun 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1976

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Raj.Shiwach, M.D., P.a.Group PAC ID 4587744560, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Cost

74.93

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

Practice roles

Locations

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.

• Raj Shiwach, MD, PA

  • Psychiatry Physician
  • Desoto, TX
  • NPI 1750589016
  Medicare reassignment Care Compare group NPD
• Raj Shiwach, Mdpa

  • Physician Assistant
  • Desoto, TX
  • NPI 1861881112
  NPD (past) Authorized official
• Albert Boyd MD PA

  • Family Medicine Physician
  • Desoto, TX
  • NPI 1336329150
  NPD (past)
• Hickory Trail Hospital, L.P.

  • Psychiatric Hospital
  • Desoto, TX
  • NPI 1205999232
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1992740278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 CHEROKEE TRL",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752091916",
            "telephone_number": "972-283-6286",
            "fax_number": "214-217-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 YORK DRIVE STE 205",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152242",
            "telephone_number": "972-283-6286",
            "fax_number": "214-217-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIWACH",
        "first_name": "RAJINDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "K2288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140817101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shepherd Specialty Pharmacy LLC
• Brenda Gay Shepherd, R.N.
• Patricia Ann Sherfield
• Angel Shibu, PA-C
• Anita Shiwach
• Haji-Sheikh Keith Shoulders, LCSW
• Janet Sims, LPC
• Tiffany Lashae-Della Sims, NP
• Sista2Sista Inspiring Growth
• Amber Gail Skach, FNP

• Psychiatry Physician in Desoto, TX
• Providers in Desoto, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.

Verify at the official NPI Registry.