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SHYAMALA P C
NPI 1255514907
Psychiatry & Neurology - Neurology in Glendale, AZ

Active since December 17, 2007
6677 W THUNDERBIRD RD STE D148, GLENDALE, AZ 85306(602) 843-3811(602) 843-0044 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 18, 2024, Nov 16, 2021 (2 updates tracked since 2021).

About Shyamala P C NPPES

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

SHYAMALA P C (NPI 1255514907) is a healthcare organization registered as a neurology in Glendale, Arizona and active in the NPI registry since December 2007. The organization lists Shyamala Kumar, President, as its authorized official.

NPPES Registry Identity

NPI1255514907
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameSHYAMALA P C
Location Address6677 W THUNDERBIRD RD STE D148Glendale, AZ 85306-3769
Mailing Address6677 W Thunderbird Rd Ste D148Glendale, AZ 85306-3769 · (602) 843-3811 · Fax (602) 843-0044
Phone(602) 843-3811
Fax(602) 843-0044
Organization SubpartNo
Authorized OfficialShyamala KumarPresident · (602) 999-6342
Enumeration DateDecember 17, 2007
Last NPPES UpdateJuly 18, 20242 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
✔ NPI 1255514907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in AZ · 28250
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
6677 W THUNDERBIRD RD STE D148, Glendale, AZ 85306
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Other Identifiers 2

Medicaid569353-03AZ
OtherZ74891AZ · Mdcr Group Box 33b

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)

Shyamala P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Shyamala P C, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Shyamala Kumar, MD
Neurology
NPI 1457314841
6677 W THUNDERBIRD RD STE D148
Glendale, AZ 85306
(602) 843-3811
✔ PECOS✔ Accepts MedicareSame address
Miranda Angermeier, FNP
Nurse Practitioner
NPI 1649949611
10474 W THUNDERBIRD BLVD STE 200
Sun City, AZ 85351
(623) 377-7410
✔ PECOS4.8 mi

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

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 Shyamala P C's NPI number?

The NPI number for Shyamala P C is 1255514907. It was assigned to this organization in the NPPES registry on December 17, 2007.

Where is Shyamala P C located?

Shyamala P C is located at 6677 W Thunderbird Rd Ste D148, Glendale, AZ 85306. The listed phone number is (602) 843-3811.

What is Shyamala P C's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Shyamala P C enrolled in Medicare?

Yes. Shyamala P C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shyamala P C?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Shyamala P C, in Neurology 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shyamala P C was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.