SHANTANU SHREEPAD NAIK (NPI# 1942362520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942362520 |
| Entity Type | Individual |
| Full Name | SHANTANU SHREEPAD NAIK |
| Credential | M.D. |
| Practice Address |
1210 W Braker Ln Specialty Clinic Austin TX 78758-3801 |
| Mailing Address |
6300 La Calma Dr. Ste. 200 Austin TX 78752-3825 |
| Practice Telephone | 5129789614 |
| Practice Fax Number | 5129019734 |
| Mailing Telephone | 8888008237 |
| Mailing Fax Number | 5126100392 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301078639 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
M5396 | TX | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
M5396 | TX | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
M5396 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBSTX PIN | 8X6780 | 01 |
| Street Address |
1210 W BRAKER LN SPECIALTY CLINIC |
| City | AUSTIN |
| State | TX |
| Zip Code | 78758-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770574659 | Constancio Concepcion | Pediatrics | 1210 W Braker Ln, Austin, TX 78758-3801 | 2005-10-31 |
| 1306455928 | Nicole Powell Cantu | Social Worker | 1210 W Braker Ln, Austin, TX 78758-3801 | 2020-07-29 |
| 1720630296 | Central Texas Community Health Centers | Pharmacy | 1210 W Braker Ln, Austin, TX 78758-3801 | 2019-07-15 |
| 1578048674 | Rosario Rodriguez | Respiratory Therapist, Registered | 1210 W Braker Ln, Austin, TX 78758-3801 | 2018-09-25 |
| 1912489527 | Randall Trey Mitchell | Dietitian, Registered | 1210 W Braker Ln, Austin, TX 78758-3801 | 2018-08-30 |
| 1093206997 | Kathryn Litten | Pharmacist | 1210 W Braker Ln, Austin, TX 78758-3801 | 2018-05-25 |
| 1932623568 | Matlin Inga Sader | Registered Nurse | 1210 W Braker Ln, Austin, TX 78758-3801 | 2017-07-25 |
| 1891218632 | Erika Michelle Schiller | Registered Nurse | 1210 W Braker Ln, Austin, TX 78758-3801 | 2017-07-24 |
| 1528598166 | Kylie Jensen | Respiratory Therapist, Registered | 1210 W Braker Ln, Austin, TX 78758-3801 | 2017-06-15 |
| 1245769223 | Kaci M Webb | Family Medicine | 1210 W Braker Ln, Austin, TX 78758-3801 | 2017-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1083243661 | Donna Bella Laurel Portillo | Pharmacist | 12221 N Mopac Expwy, Austin, TX 78758 | 2020-04-05 |
| 1881249092 | Elizabeth Logan Anderson | Behavioral Analyst | 2100 Kramer Ln., Suite 150, Austin, TX 78758 | 2019-08-05 |
| 1295388502 | Bridget Sue Morgan | Behavioral Analyst | 2100 Kramer Ln #150, Austin, TX 78758 | 2019-07-17 |
| 1508326885 | Jonathan James Runnels | Anesthesiologist Assistant | 12221n Mopac, Austin, TX 78758 | 2019-03-22 |
| 1427527324 | Nayely Gutierrez | Dietitian, Registered | 8606 Delaware Ct, Austin, TX 78758 | 2018-11-20 |
| 1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
| 1528545456 | Alexis N Bongiorno | Registered Nurse | 11901 Hobby Horse Court, 1516, Austin, TX 78758 | 2018-07-24 |
| 1679072573 | Lori Scott | Counselor | 1600 Payton Gin Road, Austin, TX 78758 | 2018-02-06 |
| 1003322488 | Lisa Robyn Lee | Behavior Technician | 2018 W Rundberg Ln, #13d, Austin, TX 78758 | 2017-12-20 |
| Find all providers in zip 78758 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013094515 | James Andrew Driscoll | Internal Medicine | 1305 W 34th St Ste 400, Austin, TX 78705-1922 | 2006-11-01 |
| 1801974423 | Sireesha Gogineni | Internal Medicine | 5920 W William Cannon Dr Ste 110, Austin, TX 78749-1902 | 2006-11-01 |
| 1801810080 | Jon L Belsher | Internal Medicine | 1250 S. Capital of Texas Hwy, Suite 500, Austin, TX 78746 | 2006-07-27 |
| 1184628828 | Sean C Gilbey | Internal Medicine | 5920 W William Cannon Dr, Bldg 1 Ste 150, Austin, TX 78749-1902 | 2005-06-10 |
| 1225031669 | Harold D Cain | Internal Medicine | 3600 W Parmer Ln, Ste 106, Austin, TX 78727-4107 | 2005-05-31 |
| 1477115830 | Abc Sleep Pllc | Internal Medicine | 5920 W William Cannon Dr Ste 110, Austin, TX 78749-1902 | 2019-07-05 |
| 1316193907 | Koonj Ashvin Shah | Internal Medicine | 1305 W 34th St, Suite 400, Austin, TX 78705-1923 | 2008-08-14 |
| 1427226224 | Shailaja Janaki Hayden | Internal Medicine | 1305 W 34th St, Suite 400, Austin, TX 78705-1923 | 2008-02-14 |
| 1447435805 | Austin Critical Care Specialists Pa | Internal Medicine | 11113 Research Blvd, Austin, TX 78759-5236 | 2008-01-04 |
| 1891893186 | Thaw Sint | Internal Medicine | 3600 W Parmer Ln, Ste 106, Austin, TX 78727-4107 | 2006-09-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.