DR. SHANTAVEER GANGU MD
NPI 1053670273
Pediatrics - Pediatric Critical Care Medicine in Memphis, TN

Active since May 08, 2012PECOS Enrolled
848 ADAMS AVE, MEMPHIS, TN 38103(901) 287-7337 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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.

NPPES Registry Identity

NPI1053670273
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. SHANTAVEER GANGUCredential: MD
Location Address848 ADAMS AVEMemphis, TN 38103-2816
Mailing Address51 N Dunlap St, G145Memphis, TN 38105-4625 · (901) 287-5594
Sole ProprietorNo
Enumeration DateMay 8, 2012
Last NPPES UpdateAugust 3, 2023
NPPES CertifiedAugust 3, 2023
NPI 1053670273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in TN · 54251
Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

848 ADAMS AVE, Memphis, TN 38103

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Shantaveer Gangu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Pediatrics (Pediatric Cardiology)
848 ADAMS AVE
MEMPHIS, TN 38103
Pediatrics (Pediatric Critical Care Medicine)
848 ADAMS AVE
MEMPHIS, TN 38103
Pediatrics
848 ADAMS AVE
MEMPHIS, TN 38103
Pediatrics
848 ADAMS AVE
MEMPHIS, TN 38103
Nurse Practitioner (Neonatal, Critical Care)
848 ADAMS AVE
MEMPHIS, TN 38103
Nurse Practitioner (Pediatrics)
848 ADAMS AVE
MEMPHIS, TN 38103
Speech-Language Pathologist
848 ADAMS AVE
MEMPHIS, TN 38103
Dietitian, Registered (Nutrition, Pediatric)
848 ADAMS AVE
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 enrollment system.

What insurance does Shantaveer Gangu accept?

Health plans from Baylor Scott and White Health Plan, 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 with the weekly NPPES data releases published by CMS.