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SANDYA SHIVASHANKAR M.D.
NPI 1184039422
Family Medicine in Dallas, TX

Active since June 25, 2014PECOS EnrolledAccepts Medicare Assignment
12801 MIDWAY RD STE 503, DALLAS, TX 75244(972) 243-3304(972) 243-3717 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Aug 28, 2017, Feb 26, 2016 (3 updates tracked since 2016).

About Sandya Shivashankar M.d. NPPES

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

SANDYA SHIVASHANKAR M.D. (NPI 1184039422) is an individual family medicine provider in Dallas, Texas, licensed in Texas (R3959) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1184039422
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSANDYA SHIVASHANKARCredential: M.D.
Location Address12801 MIDWAY RD STE 503Dallas, TX 75244-6303
Mailing Address645 E State Highway 121 Ste 600Coppell, TX 75019-7942 · (972) 906-8107 · Fax (972) 956-8887
Phone(972) 243-3304
Fax(972) 243-3717
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 25, 2014
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1184039422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TX · R3959✔ Licensed in IL · 125.064639
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

12801 MIDWAY RD STE 503, Dallas, TX 75244
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sandya Shivashankar M.d. 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.

PECOS PAC ID4486870961
PECOS Enrollment IDI20210915002319
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75244 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. IRIS NADIA MCCOLM PA-C
Physician Assistant
12801 MIDWAY RD STE 503
DALLAS, TX 75244
Dallas County (972) 243-3304

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 Sandya Shivashankar's NPI number?

The NPI number for Sandya Shivashankar is 1184039422. It was assigned to this individual provider in the NPPES registry on June 25, 2014.

Where is Sandya Shivashankar located?

Sandya Shivashankar practices at 12801 Midway Rd Ste 503, Dallas, TX 75244. The listed phone number is (972) 243-3304.

What is Sandya Shivashankar's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sandya Shivashankar enrolled in Medicare?

Yes. Sandya Shivashankar 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.

What insurance does Sandya Shivashankar accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Sandya Shivashankar 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 Sandya Shivashankar was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.