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

Shiny Raju, ACNP-BC

Individual provider Nurse Practitioner · NPI 1396099909

Shiny Raju, ACNP-BC is a Nurse Practitioner in Dallas, Texas. Qualified in 2012, 14 years ago. Practices with University of Texas Southwestern Medical Center at Dallas, a 3,149-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
14
Licensed in
TX
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone: (214) 648-9741
Fax: (214) 648-9531
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 603660 (TX)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 603660 (TX)

Record details

NPI number1396099909
Entity typeIndividual (Type 1)
GenderMale
Credentials ACNP-BC
Sole proprietorNo
NPI enumeratedNovember 5, 2012
Last updated in NPPESNovember 5, 2012

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice University Of Texas Southwestern Medical Center At Dallas — 3149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dallas