DR. SHALINI DURGAM
NPI 1821558644
Internal Medicine in Austin, TX

Q: What is Shalini Durgam's NPI number?

The NPI number for Shalini Durgam is 1821558644. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Q: What is Shalini Durgam's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shalini Durgam was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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 20, 2019PECOS EnrolledAccepts Medicare Assignment

901 W BEN WHITE BLVD, AUSTIN, TX 78704(512) 447-2211 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 30, 2026, Jan 29, 2023, Mar 20, 2019 (3 updates tracked since 2019).

On this page

About Dr. Shalini Durgam NPPES

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

DR. SHALINI DURGAM (NPI 1821558644) is an individual internal medicine provider in Austin, Texas, licensed in Texas (U0576) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Chi St Joseph Health Regional Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1821558644

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. SHALINI DURGAM

Location Address901 W BEN WHITE BLVDAustin, TX 78704-6903

Mailing Address901 W Ben White BlvdAustin, TX 78704-6903 · (512) 447-2211

Phone(512) 447-2211

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateMarch 20, 2019

Last NPPES UpdateApril 30, 20263 updates tracked since enumeration

NPPES CertifiedApril 30, 2026

✔ NPI 1821558644 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 · U0576

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.

901 W BEN WHITE BLVD, Austin, TX 78704

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Secondary Practice Locations 2

Location 11604 Rock Prairie RdCollege Station, TX 77845-8343 · Phone (979) 680-5462 · Fax (979) 680-5455

Location 22801 Franciscan DrBryan, TX 77802-2544 · Phone (979) 776-5967 · Fax (979) 731-5619

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shalini Durgam 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 ID5395079156

PECOS Enrollment IDI20230222000617

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

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

Lonestar Pat Associates PA

20 mi

Hospitalist

2400 ROUND ROCK AVE
Round Rock, TX 78681

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

NPI 1811594203 (512) 341-1000

Ipc Healthcare Services Of Texas, PLLC

66 mi

Hospitalist

7330 SAN PEDRO AVE, STE 540
San Antonio, TX 78216

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

NPI 1023403011 (210) 344-7287

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

204 services85 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

78 services78 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

56 services35 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Chi St Joseph Health Regional Hospital

Acute Care Hospitals · Bryan, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450011

Location2801 Franciscan DrBryan, TX 77802 · Brazos County

Emergency services Birthing friendly

St David's South Austin Medical Center

Acute Care Hospitals · Austin, TX

5/5 CMS rating

OwnershipProprietary

CMS Certification Number450713

Location901 West Ben White BlvdAustin, TX 78704 · Travis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78704 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

$131.95 typical visit price

range $57.88 – $174.00

Typical copayment $32.98 (range $14.47 – $43.50)

Most-billed visit code 99204

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 20

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

DR. ASHLEY NICOLE ROSS

Student in an Organized Health Care Education/Training Program

901 W BEN WHITE BLVD
AUSTIN, TX 78704

Travis County (512) 816-5648

MERCEDES CORAL JOLLEY DO

Student in an Organized Health Care Education/Training Program

901 W BEN WHITE BLVD
AUSTIN, TX 78704

Travis County (512) 816-5648

CAITLIN REEDHOLM PHARMD

Pharmacist

901 W BEN WHITE BLVD
AUSTIN, TX 78704

Travis County (512) 816-6160

MELISSA ANN CULLUM MD

Student in an Organized Health Care Education/Training Program

901 W BEN WHITE BLVD
AUSTIN, TX 78704

Travis County (512) 996-5880

MR. DAVID ALAN STRONG RRT

Respiratory Therapist, Registered

901 W BEN WHITE BLVD, RESPIRATORY THERAPY DEPT ST DAVIDS SOUTH AUSTIN HOSPITA
AUSTIN, TX 78704

Travis County (512) 416-6157

WHITNEY QUITTA DHYNE PA

Physician Assistant (Medical)

901 W BEN WHITE BLVD
AUSTIN, TX 78704

Travis County (128) 168-6115

DR. RANSOME ANTHONY DREXLER MD

Student in an Organized Health Care Education/Training Program

901 W BEN WHITE BLVD
AUSTIN, TX 78704

Travis County (512) 816-5648

DR. ROSALIE PIERCE HUDSON M.D.

Hospitalist

901 W BEN WHITE BLVD
AUSTIN, TX 78704

Travis County (512) 350-1781

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 Shalini Durgam's NPI number?

The NPI number for Shalini Durgam is 1821558644. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Shalini Durgam located?

Shalini Durgam practices at 901 W Ben White Blvd, Austin, TX 78704. The listed phone number is (512) 447-2211.

What is Shalini Durgam's specialty?

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

Is Shalini Durgam enrolled in Medicare?

Yes. Shalini Durgam 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 Shalini Durgam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shalini Durgam reassigns Medicare benefits to 2 organizations: Lonestar Pat Associates PA (Round Rock, TX) and Ipc Healthcare Services Of Texas, PLLC (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 Shalini Durgam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shalini Durgam accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Shalini Durgam 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 Shalini Durgam affiliated with any hospitals?

According to CMS data, Shalini Durgam is affiliated with Chi St Joseph Health Regional Hospital and St David's South Austin Medical Center.

When was this NPI record last updated?

The NPPES record for Shalini Durgam was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.