Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sandya Shivashankar, MD

Individual provider Family Medicine Physician · NPI 1184039422

Sandya Shivashankar, MD is a Family Practice in Dallas, Texas. Qualified in 2013, 13 years ago. Practices with Primary Health Physicians PLLC, a 238-clinician group and accepts Medicare assignment. Licensed in Illinois and Texas.

Years since qualifying
13
Licensed in
IL, TX
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12801 Midway Rd Ste 503
Dallas, TX 75244-6303
Phone: (972) 243-3304
Fax: (972) 243-3717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence R3959 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence 125.064639 (IL)

Record details

NPI number1184039422
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2014
Last updated in NPPESJuly 21, 2022
Mailing address645 E State Highway 121 Ste 600, Coppell, TX 75019-7942

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Primary Health Physicians Pllc — 238 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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