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SHALOM GP MEDICAL GROUP LLC
NPI 1265176101
Family Medicine in Cedar Park, TX

Active since April 26, 2022
600 C-BAR RANCH TRAIL #89, CEDAR PARK, TX 78613(510) 334-4171 Get Directions Write a Review

NPPES record last updated: September 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 16, 2022, Aug 2, 2022, Jul 30, 2022 and 1 more (4 updates tracked since 2022).

About Shalom Gp Medical Group Llc NPPES

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

SHALOM GP MEDICAL GROUP LLC (NPI 1265176101) is a healthcare organization registered as a family medicine in Cedar Park, Texas and active in the NPI registry since April 2022. The organization lists Nkechinyere Udenyi, Manager, as its authorized official.

NPPES Registry Identity

NPI1265176101
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHALOM GP MEDICAL GROUP LLC
Location Address600 C-BAR RANCH TRAIL #89Cedar Park, TX 78613
Mailing Address500 E Whitestone Blvd Unit 3963Cedar Park, TX 78630-4461
Phone(510) 334-4171
Organization SubpartNo
Authorized OfficialNkechinyere UdenyiManager · (510) 334-4171
Enumeration DateApril 26, 2022
Last NPPES UpdateSeptember 16, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2022
✔ NPI 1265176101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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 Shalom Gp Medical Group LLC's NPI number?

The NPI number for Shalom Gp Medical Group LLC is 1265176101. It was assigned to this organization in the NPPES registry on April 26, 2022.

Where is Shalom Gp Medical Group LLC located?

Shalom Gp Medical Group LLC is located at 600 C-Bar Ranch Trail #89, Cedar Park, TX 78613. The listed phone number is (510) 334-4171.

What is Shalom Gp Medical Group LLC's specialty?

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

What insurance does Shalom Gp Medical Group LLC accept?

Health plans from Moda Health Plan, Inc. list Shalom Gp Medical Group LLC 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 Shalom Gp Medical Group LLC was last updated on September 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.