MR. PRASHANTH GUMPU SHIVASHANKAR
NPI 1356030803
Internal Medicine in Wichita Falls, TX

Q: What is Prashanth Gumpu Shivashankar's NPI number?

The NPI number for Prashanth Gumpu Shivashankar is 1356030803. It was assigned to this individual provider in the NPPES registry on May 2, 2023.

Q: What is Prashanth Gumpu Shivashankar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since May 02, 2023PECOS Enrolled

1631 11TH ST UNIT B, WICHITA FALLS, TX 76301(940) 263-3000(940) 263-3018 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 21, 2026, Oct 31, 2023, May 2, 2023 (3 updates tracked since 2023).

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About Mr. Prashanth Gumpu Shivashankar NPPES

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

MR. PRASHANTH GUMPU SHIVASHANKAR (NPI 1356030803) is an individual internal medicine provider in Wichita Falls, Texas, licensed in Texas (W3263) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Wichita Falls, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1356030803

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMR. PRASHANTH GUMPU SHIVASHANKAR

Location Address1631 11TH ST UNIT BWichita Falls, TX 76301-4332

Mailing Address1631 11th St Unit BWichita Falls, TX 76301-4332 · (940) 263-3000 · Fax (940) 263-3018

Phone(940) 263-3000

Fax(940) 263-3018

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMay 2, 2023

Last NPPES UpdateJune 16, 20263 updates tracked since enumeration

NPPES CertifiedJune 16, 2026

✔ NPI 1356030803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · W3263

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1631 11TH ST UNIT B, Wichita Falls, TX 76301

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Secondary Practice Location 1

Location 11600 11th StWichita Falls, TX 76301-4321 · Phone (940) 263-3000 · Fax (940) 263-3018

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Prashanth Gumpu Shivashankar is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789158874

PECOS Enrollment IDI20260630001459

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 Prashanth Gumpu Shivashankar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

La Magna Health PLLC

Same address

Hospitalist

1631 11TH ST UNIT B
Wichita Falls, TX 76301

Reassigned Medicare billing, Texas enrollment
44 clinicians in this Medicare group

NPI 1699285346 (940) 687-5000

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 76301 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 7

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

KEJAL SHAH MD

Internal Medicine