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

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: July 26, 2026.

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

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 and maintains a secondary practice location in Wichita Falls.

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
Fax(940) 263-3018
Sole ProprietorNo
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

Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Prashanth Gumpu Shivashankar 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.

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.

Internal Medicine
1631 11TH ST UNIT B
WICHITA FALLS, TX 76301
Internal Medicine
1631 11TH ST UNIT B
WICHITA FALLS, TX 76301
Internal Medicine
1631 11TH ST UNIT B
WICHITA FALLS, TX 76301
Hospitalist
1631 11TH ST UNIT B
WICHITA FALLS, TX 76301
Family Medicine
1631 11TH ST UNIT B
WICHITA FALLS, TX 76301
Internal Medicine
1631 11TH ST UNIT B
WICHITA FALLS, TX 76301
Physician Assistant
1631 11TH ST UNIT B
WICHITA FALLS, TX 76301

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 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.

Where is Prashanth Gumpu Shivashankar located?

Prashanth Gumpu Shivashankar practices at 1631 11th St Unit B, Wichita Falls, TX 76301. The listed phone number is (940) 263-3000.

What is Prashanth Gumpu Shivashankar's specialty?

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

Is Prashanth Gumpu Shivashankar enrolled in Medicare?

Yes. Prashanth Gumpu Shivashankar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Prashanth Gumpu Shivashankar was last updated on June 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.