SHYLESH GANTA ,MD , PA
NPI 1124217310
Internal Medicine in Midland, TX

Active since October 24, 2007CLIA 45D1099710 · Waiver
3401 GREENBRIAR STE 100, MIDLAND, TX 79707(432) 683-6558(432) 682-5104 Get Directions Write a Review

NPPES record last updated: July 1, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shylesh Ganta ,md , Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHYLESH GANTA ,MD , PA (NPI 1124217310) is a healthcare organization registered as an internal medicine in Midland, Texas and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through January 31, 2028 and lists Shylesh Ganta, Director, as its authorized official.

NPPES Registry Identity

NPI1124217310
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSHYLESH GANTA ,MD , PA
Location Address3401 GREENBRIAR STE 100Midland, TX 79707-4607
Mailing AddressPo Box 4083Midland, TX 79704-4083 · (432) 683-6558 · Fax (432) 682-5104
Fax(432) 682-5104
Organization SubpartNo
Authorized OfficialShylesh GantaDirector · (432) 770-8286
Enumeration DateOctober 24, 2007
Last NPPES UpdateJuly 1, 2010
✔ NPI 1124217310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · K9066
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3401 GREENBRIAR STE 100, Midland, TX 79707

Other Identifiers 2

Medicaid192864001TX
Medicare PIN00Y323TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shylesh Ganta ,md , Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Shylesh Ganta ,md , PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Internal Medicine
NPI 1790972610
3401 GREENBRIAR STE 100
Midland, TX 79707
(432) 686-0000
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1811900657
3401 GREENBRIAR STE 100
Midland, TX 79707
(432) 683-6558
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1750794749
3401 GREENBRIAR
Midland, TX 79707
(432) 686-0000
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1099710

Shylesh Ganta MD PA · Midland, TX
Active · expires Jan 31, 2028
CLIA Number45D1099710
Laboratory TypePhysician Office
Certificate Effective DateFebruary 1, 2026
Certificate Expiration DateJanuary 31, 2028
Laboratory DirectorSapna Chilka
Laboratory Phone(432) 686-0000
Laboratory LocationShylesh Ganta MD PA3401 Greenbriar Dr Ste 100, Midland, TX 79707
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Shylesh Ganta ,md , PA's NPI number?

The NPI number for Shylesh Ganta ,md , PA is 1124217310. It was assigned to this organization in the NPPES registry on October 24, 2007.

Where is Shylesh Ganta ,md , PA located?

Shylesh Ganta ,md , PA is located at 3401 Greenbriar Ste 100, Midland, TX 79707. The listed phone number is (432) 683-6558.

What is Shylesh Ganta ,md , PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shylesh Ganta ,md , PA enrolled in Medicare?

Yes. Shylesh Ganta ,md , PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shylesh Ganta ,md , PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Shylesh Ganta ,md , PA, in Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Shylesh Ganta ,md , PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1099710) is associated with this NPI, valid through January 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shylesh Ganta ,md , PA was last updated on July 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.