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DR. ARATHI APURVA SHAH M.D.
NPI 1669648861
Pediatrics in Austin, TX

Active since May 07, 2008PECOS Enrolled
5625 EIGER RD STE 225, AUSTIN, TX 78735(512) 447-5588(512) 447-6990 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2023, May 24, 2021, Oct 2, 2018 and 2 more (5 updates tracked since 2015).

About Dr. Arathi Apurva Shah M.d. NPPES

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

DR. ARATHI APURVA SHAH M.D. (NPI 1669648861) is an individual pediatrics provider in Austin, Texas, licensed in Texas (P0494) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669648861
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. ARATHI APURVA SHAHCredential: M.D.
Location Address5625 EIGER RD STE 225Austin, TX 78735-8983
Mailing Address5625 Eiger Rd Ste 225Austin, TX 78735-8983 · (512) 447-5588 · Fax (512) 447-6990
Phone(512) 447-5588
Fax(512) 447-6990
Sole ProprietorNo
Enumeration DateMay 7, 2008
Last NPPES UpdateJuly 21, 20235 updates tracked since enumeration
NPPES CertifiedJuly 21, 2023
✔ NPI 1669648861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · P0494
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5625 EIGER RD STE 225, Austin, TX 78735
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Other Names 1

Former Name (1)Dr. Arathi Kannankutty Nair

Other Identifiers 2

Medicaid284751907TX
Medicaid284751908TX

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Arathi Apurva Shah M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Arathi Shah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Barrio Comprehensive Family Health Care Center, Inc.
16 mi
Federally Qualified Health Center (FQHC)
2810 DACY LANE
Kyle, TX 78640
  • Reassigned Medicare billing, Texas enrollment
  • 268 clinicians in this Medicare group
NPI 1003136912 (512) 268-8900
Community Medicine Associates
68 mi
Family Medicine
903 W MARTIN ST # MS 49-2
San Antonio, TX 78207
  • Reassigned Medicare billing, Texas enrollment
  • 1,129 clinicians in this Medicare group
NPI 1245313329 (210) 358-3401

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 78735 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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

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

CASEY MULCIHY M.D.
Pediatrics
5625 EIGER RD STE 225
AUSTIN, TX 78735
Travis County (512) 447-5588

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 Arathi Shah's NPI number?

The NPI number for Arathi Shah is 1669648861. It was assigned to this individual provider in the NPPES registry on May 7, 2008. The provider is also known as Dr. Arathi Kannankutty Nair.

Where is Arathi Shah located?

Arathi Shah practices at 5625 Eiger Rd Ste 225, Austin, TX 78735. The listed phone number is (512) 447-5588.

What is Arathi Shah's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Arathi Shah enrolled in Medicare?

Yes. Arathi Shah is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Arathi Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Arathi Shah reassigns Medicare benefits to 2 organizations: Barrio Comprehensive Family Health Care Center, Inc. (Kyle, TX) and Community Medicine Associates (San Antonio, TX). 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 Arathi Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Arathi Shah accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company list Arathi Shah 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 Arathi Shah was last updated on July 21, 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.