DR. SHANTAVEER GANGU MD
NPI 1053670273
Pediatrics - Pediatric Critical Care Medicine in Memphis, TN
About Dr. Shantaveer Gangu Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHANTAVEER GANGU MD (NPI 1053670273) is an individual pediatric critical care medicine provider in Memphis, Tennessee, licensed in Tennessee (54251) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Shantaveer Gangu Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Shantaveer Gangu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Memphis, TN 38103
- Reassigned Medicare billing, Tennessee enrollment
- 582 clinicians in this Medicare group
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Texas Childrens Physician Group
- 2,498 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MEMPHIS, TN 38103
MEMPHIS, TN 38103
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shantaveer Gangu's NPI number?
The NPI number for Shantaveer Gangu is 1053670273. It was assigned to this individual provider in the NPPES registry on May 8, 2012.
Where is Shantaveer Gangu located?
Shantaveer Gangu practices at 848 Adams Ave, Memphis, TN 38103. The listed phone number is (901) 287-7337.
What is Shantaveer Gangu's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.
Is Shantaveer Gangu enrolled in Medicare?
Yes. Shantaveer Gangu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Shantaveer Gangu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shantaveer Gangu reassigns Medicare benefits to 2 organizations: Ut Lebonheur Pediatric Specialists, Inc. (Memphis, TN) and Texas Children's Physician Group (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shantaveer Gangu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shantaveer Gangu accept?
Health plans from Baylor Scott and White Health Plan, Harbor Health, Moda Health Plan, Inc. and Sendero Health Plans, Local Nonprofit list Shantaveer Gangu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Shantaveer Gangu was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Shantaveer Gangu, MD · NPI 1053670273
Pediatric Critical Care Medicine physician in Memphis, Tennessee. Individual provider, active in the CMS NPPES registry since May 8, 2012.
## Identity
- **NPI:** 1053670273 (Entity type: Individual)
- **Enumerated:** May 8, 2012
- **Primary specialty:** Pediatrics - Pediatric Critical Care Medicine · taxonomy 2080P0203X
- **State license:** 54251 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 848 ADAMS AVE, Memphis, TN 38103-2816
- **Phone:** (901) 287-7337
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ut Lebonheur Pediatric Specialists, Inc. (NPI 1093024101, Memphis, TN); Texas Children's Physician Group (NPI 1861675506, Houston, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** August 3, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1053670273) · Data from the CMS NPPES public registry.