SHUKHRATILLA SHAMSHITDINOV
NPI 1386320851
Nurse Anesthetist, Certified Registered in San Antonio, TX

Active since June 27, 2023PECOS EnrolledAccepts Medicare Assignment
4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 358-4000 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shukhratilla Shamshitdinov NPPES

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

SHUKHRATILLA SHAMSHITDINOV (NPI 1386320851) is an individual nurse anesthetist, certified registered in San Antonio, Texas, licensed in Tennessee (0000247482) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital On The Emerald Coast, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1386320851
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameSHUKHRATILLA SHAMSHITDINOV
Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402
Mailing Address11106 Brussels Boy LnRiverview, FL 33578-6152
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 27, 2023
NPPES CertifiedJune 27, 2023
✔ NPI 1386320851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in TN · 0000247482
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
4502 MEDICAL DR, San Antonio, TX 78229

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shukhratilla Shamshitdinov is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719332584
PECOS Enrollment IDI20250128001347, I20250521002123, I20250623000483, I20260430002088
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 Reassignments

10

Medicare enrollment records show Shukhratilla Shamshitdinov reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
1015 W MEDICAL CENTER BLVD STE 1200
Webster, TX 77598
  • Reassigned Medicare billing, Texas enrollment
  • 710 clinicians in this Medicare group
Anesthesiology
4100 INTERNATIONAL PLZ STE 800
Fort Worth, TX 76109
  • Reassigned Medicare billing, Texas enrollment
  • 1,612 clinicians in this Medicare group
Anesthesiology
1500 S MAIN ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 509 clinicians in this Medicare group
Anesthesiology
3100 OAK GROVE RD
Rombauer, MO 63901
  • Reassigned Medicare billing, Missouri enrollment
  • 217 clinicians in this Medicare group
Anesthesiology
1375 E 19TH AVE
Denver, CO 80218
  • Reassigned Medicare billing, Colorado enrollment
  • 160 clinicians in this Medicare group
Anesthesiology
710 CENTER ST
Columbus, GA 31901
  • Reassigned Medicare billing, Georgia enrollment
  • 165 clinicians in this Medicare group
Anesthesiology
6101 PINE RIDGE RD
Naples, FL 34119
  • Reassigned Medicare billing, Florida enrollment
  • 767 clinicians in this Medicare group
Internal Medicine
506 NORTH ST
Bamberg, SC 29003
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,389 clinicians in this Medicare group
Anesthesiology
122 12TH ST
Princeton, WV 24740
  • Reassigned Medicare billing, West Virginia enrollment
  • 95 clinicians in this Medicare group
Anesthesiology
4805 NE GLISAN ST
Portland, OR 97213
  • Reassigned Medicare billing, Oregon enrollment
  • 419 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
16 services16 patients
Anesthesia for procedure on anus and rectum 00902
Anesthesia for procedures on the anus and rectum ensures comfort during medical procedures. It involves the administration of medication to numb the area or induce sleep, so you don't feel pain or discomfort. This helps doctors perform necessary procedures smoothly and effectively.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sacred Heart Hospital On The Emerald Coast

Acute Care Hospitals · Miramar Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100292
Location7800 Us Hwy 98 WMiramar Beach, FL 32550 · Walton County
Emergency services Birthing friendly

Piedmont Columbus Regional Midtown

Acute Care Hospitals · Columbus, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110064
Location710 Center StreetColumbus, GA 31901 · Muscogee County
Emergency services Birthing friendly

Piedmont Columbus Regional Northside

Acute Care Hospitals · Columbus, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110200
Location100 Frist CourtColumbus, GA 31909 · Muscogee County

Research Medical Center

Acute Care Hospitals · Kansas City, MO
2/5 CMS rating
OwnershipProprietary
CMS Certification Number260027
Location2316 E Meyer BlvdKansas City, MO 64132 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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 20

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

Internal Medicine (Cardiovascular Disease)
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Student in an Organized Health Care Education/Training Program
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Student in an Organized Health Care Education/Training Program
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Physical Therapy Assistant
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Anesthetist, Certified Registered
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Anesthetist, Certified Registered
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Pharmacist
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Hospitalist
4502 MEDICAL DR
SAN ANTONIO, TX 78229

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 Shukhratilla Shamshitdinov's NPI number?

The NPI number for Shukhratilla Shamshitdinov is 1386320851. It was assigned to this individual provider in the NPPES registry on June 27, 2023.

Where is Shukhratilla Shamshitdinov located?

Shukhratilla Shamshitdinov practices at 4502 Medical Dr, San Antonio, TX 78229. The listed phone number is (210) 358-4000.

What is Shukhratilla Shamshitdinov's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Shukhratilla Shamshitdinov enrolled in Medicare?

Yes. Shukhratilla Shamshitdinov is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shukhratilla Shamshitdinov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shukhratilla Shamshitdinov reassigns Medicare benefits to 10 organizations: Endo Sedation LLC (Webster, TX), Emergenchealth PLLC (Fort Worth, TX), Sound Physicians Anesthesiology Of Texas PLLC (Fort Worth, TX), Capital Anesthesia Solutions Of Missouri LLC (Rombauer, MO), Hospitalist Medicine Physicians Of Colorado - Denver PC (Denver, CO) and 5 more organizations, listed in the Medicare section above. Each 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 Shukhratilla Shamshitdinov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shukhratilla Shamshitdinov accept?

Health plans from Blue Cross and Blue Shield of Texas and Community First list Shukhratilla Shamshitdinov 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.

Is Shukhratilla Shamshitdinov affiliated with any hospitals?

According to CMS data, Shukhratilla Shamshitdinov is affiliated with Sacred Heart Hospital On The Emerald Coast, Piedmont Columbus Regional Midtown, Piedmont Columbus Regional Northside and Research Medical Center.

When was this NPI record last updated?

The NPPES record for Shukhratilla Shamshitdinov was last updated on June 27, 2023. 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.