DR. AVANTHI TAYI SHAH MD
NPI 1821230319
Pediatrics - Pediatric Hematology-Oncology in Dallas, TX

Q: What is Avanthi Shah's NPI number?

The NPI number for Avanthi Shah is 1821230319. It was assigned to this individual provider in the NPPES registry on March 30, 2009. The provider is also known as Avanthi Tayi MD.

Q: What is Avanthi Shah's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for Avanthi Shah was last updated on December 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 30, 2009PECOS Enrolled

5323 HARRY HINES BLVD, DALLAS, TX 75390(214) 456-2382(214) 456-6133 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 14, 2020, Jun 22, 2016 (2 updates tracked since 2016).

On this page

About Dr. Avanthi Tayi Shah Md NPPES

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

DR. AVANTHI TAYI SHAH MD (NPI 1821230319) is an individual pediatric hematology-oncology provider in Dallas, Texas, licensed in Texas (P3978) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Palo Alto.

NPPES Registry Identity

NPI1821230319

Entity TypeIndividualFemale

Primary Taxonomy2080P0207X

Provider Legal NameDR. AVANTHI TAYI SHAHCredential: MD

Location Address5323 HARRY HINES BLVDDallas, TX 75390-1811

Mailing AddressPo Box 845347Dallas, TX 75284-5347 · (214) 456-2382 · Fax (214) 456-6133

Phone(214) 456-2382

Fax(214) 456-6133

Sole ProprietorNo

Enumeration DateMarch 30, 2009

Last NPPES UpdateDecember 14, 20202 updates tracked since enumeration

NPPES CertifiedDecember 14, 2020

✔ NPI 1821230319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

Licenses✔ Licensed in TX · P3978✔ Licensed in CA · A124972

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Also ListedPediatricsTaxonomy 208000000X · License A124972 (CA), P3978 (TX)

5323 HARRY HINES BLVD, Dallas, TX 75390

Open in Google Maps ↗

Other Names 1

Former Name (1)Avanthi Tayi Md

Secondary Practice Location 1

Location 11000 Welch Rd, Ste 300 MC 5798Palo Alto, CA 94304-1811 · Phone (650) 497-8000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Avanthi Tayi Shah Md 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.

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.

MRS. TANYA MARIE PLETIN PA-C

Physician Assistant