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

Q: 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.

Q: What is Shalom Gp Medical Group LLC's specialty?

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

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: October 18, 2026.

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

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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 ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shalom Gp Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shalom Gp Medical Group LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nkechinyere Udenyi, MD

Family Practice

NPI 1073684783

3240 E WHITESTONE BLVD UNIT 48
Cedar Park, TX 78613

(510) 334-4171

✔ PECOS✔ Accepts Medicare

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 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.

Is Shalom Gp Medical Group LLC enrolled in Medicare?

Yes. Shalom Gp Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shalom Gp Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Shalom Gp Medical Group LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 4 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.