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SAPNA SHAH M.D.
NPI 1245541044
Pediatrics in Austin, TX

Active since June 25, 2010PECOS Enrolled
10401 ANDERSON MILL RD, AUSTIN, TX 78750(512) 250-5571 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 23, 2021, Jan 31, 2017 (2 updates tracked since 2017).

About Sapna Shah M.d. NPPES

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

SAPNA SHAH M.D. (NPI 1245541044) is an individual pediatrics provider in Austin, Texas, licensed in Texas (Q7788) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Austin.

NPPES Registry Identity

NPI1245541044
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSAPNA SHAHCredential: M.D.
Location Address10401 ANDERSON MILL RDAustin, TX 78750-2581
Mailing Address6210 E Hwy 290Austin, TX 78723-1142 · (512) 483-9596
Phone(512) 250-5571
Sole ProprietorYes
Enumeration DateJune 25, 2010
Last NPPES UpdateMarch 23, 20212 updates tracked since enumeration
NPPES CertifiedMarch 23, 2021
✔ NPI 1245541044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in TX · Q7788✔ Licensed in PA · MT198355
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
10401 ANDERSON MILL RD, Austin, TX 78750
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Secondary Practice Location 1

Location 16835 Austin Center BlvdAustin, TX 78731-3166 · Phone (512) 346-6611 · Fax (512) 406-6256

Other Identifiers 2

Medicaid367112501TX
Medicaid367112502TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Sendero Health Plans, Local Nonprofit and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sapna Shah M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Sapna Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Austin Regional Clinic, PA
11 mi
Family Medicine
6210 E US HWY 290, SUITE 420 - CREDENTIALING
Austin, TX 78723
  • Reassigned Medicare billing, Texas enrollment
  • 461 clinicians in this Medicare group
NPI 1821157579 (512) 231-5516

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78750 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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 5

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

ANGELLE M OLIVER M.D.
Pediatrics
10401 ANDERSON MILL RD, SUITE 110B
AUSTIN, TX 78750
Travis County (512) 250-5571
URMILA PARTHASARATHY D.O.
Family Medicine
10401 ANDERSON MILL RD, SUITE 110B
AUSTIN, TX 78750
Travis County (512) 250-5571
AUSTIN REGIONAL CLINIC, PA
Durable Medical Equipment & Medical Supplies
10401 ANDERSON MILL RD, SUITE 110B
AUSTIN, TX 78750
Travis County (512) 250-5571
DOMINIQUE J ISAAC MD
Family Medicine
10401 ANDERSON MILL RD, SUITE 110B
AUSTIN, TX 78750
Travis County (512) 250-5571
DR. HELENA CHENG GONZALEZ M.D.
Pediatrics
10401 ANDERSON MILL RD, SUITE 110B
AUSTIN, TX 78750
Travis County (512) 250-5571

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 Sapna Shah's NPI number?

The NPI number for Sapna Shah is 1245541044. It was assigned to this individual provider in the NPPES registry on June 25, 2010.

Where is Sapna Shah located?

Sapna Shah practices at 10401 Anderson Mill Rd, Austin, TX 78750. The listed phone number is (512) 250-5571.

What is Sapna Shah's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sapna Shah enrolled in Medicare?

Yes. Sapna Shah is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sapna Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sapna Shah reassigns Medicare benefits to Austin Regional Clinic, PA (Austin, TX). The 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 Sapna Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sapna Shah accept?

Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Sendero Health Plans, Local Nonprofit and UnitedHealthcare list Sapna Shah 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 Sapna Shah was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.