Internal Medicine (Infectious Disease)

Address: 11803 South Freeway, Suite 104, Fort Worth, TX 76115-0000

KAVITHA SHASHIKUMAR (NPI# 1497858435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497858435
Entity Type Individual
Gender Female
Credential M.D.
Practice Address 11803 South Freeway, Suite 104
Fort Worth
TX 76115-0000
Practice Telephone 8175517712
Practice Fax Number 8175516262
Mailing Address Po Box 16387
Fort Worth
TX 76162-0387
Mailing Telephone 8172941408
Enumeration Date 2006-09-06
Last Update Date 2010-01-13
Is Sole Proprietor Y


Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 207RI0200X Internal Medicine
Specialization: Infectious Disease
L5558 TX Allopathic & Osteopathic Physicians

Other Provider Identifiers

Identifier State Issuer Type Code
154604602 TX MEDICAID

Physician Overview

PECOS Associate Control (PAC) ID 3476534819
by Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20040601000324
First Name KAVITHA
Credential MD
Location 11797 S Fwy 238, Burleson, TX 76028-7035
Phone Number
Graduation Year 1994
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID

Office Location

Street Address 11803 SOUTH FREEWAY, SUITE 104
State TX
Zip Code 76115-0000

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053353144 Fernando San Miguel Angeles · Fernando San Miguel Angeles Surgery 11803 S Interstate 35w, Suite 354, Fort Worth, TX 76115-0000 2006-06-12

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1134398217 Lone Star Orthopaedic and Spine Specialists, Pllc Orthopaedic Surgery 11797 South Freeway, Suite 342, Box 6426, Fort Worth, TX 76115 2008-02-22
1225045164 Allan M Wallace Optometrist 11803 South Frwy, Suite 114, Fort Worth, TX 76115 2006-08-02
1932246022 Kavitha Shashikumar Md Pa Internal Medicine - Infectious Disease 11803 South Freeway, Suite 213, Fort Worth, TX 76115 2007-01-30
1609082262 Michael Darnell, Md Pa Specialist 11803 South Freeway, Suite 315, Fort Worth, TX 76115 2007-05-14
1588684583 John Lawrence Moses Pediatrics 11803 South Freeway #203, Fort Worth, TX 76115 2006-07-20
1073602611 Courage Rehab Clinic Clinic/Center - Rehabilitation 1670 North Hampton Road, Suite 110, Desoto, TX 76115 2006-10-12
1376081752 Cheryl D. Mitchell Nurse Practitioner - Acute Care 11803 S. Freeway, Ste. 311, Fort Worth, TX 76115 2017-02-06
1275169724 Bincy Mathew · Bincy Mathew Registered Nurse - Emergency 4200 South Fwy Ste 106 Fort Worth Tx 76115, Fort Worth, TX 76115 2020-03-17
1306831037 Lyle Eric Freedman Ophthalmology 11803 S Freeway, Ste 114, Ft Worth, TX 76115 2005-09-19
1811400047 Christine Vera Varela Nurse Practitioner - Family Clinicas Mi Doctor, 4200 S Freeway Ste 106, Fort Worth, TX 76115 2017-11-09
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Taxonomy Information

Taxonomy Code 207RI0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Infectious Disease

Taxonomy Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154992170 Meridian Infectious Disease Consultants, Pllc Internal Medicine - Infectious Disease 6100 Harris Pkwy Ste 1210, Fort Worth, TX 76132-6107 2021-07-09
1982013439 Deepthi Bibinagar Internal Medicine - Infectious Disease 400 N Beach St Ste 104, Fort Worth, TX 76111-7070 2014-08-08
1104139732 Philip Blanco Antiporta Internal Medicine - Infectious Disease 1325 Pennsylvania Ave Ste 325, Fort Worth, TX 76104-2175 2010-07-25
1053462069 Saqib I Hasan Internal Medicine - Infectious Disease 1350 S Main St Ste 1600, Fort Worth, TX 76104-7663 2007-01-16
1063575199 Cedric W. Spak Internal Medicine - Infectious Disease 1025 College Ave, Fort Worth, TX 76104-3013 2006-12-19
1265407761 Mark J Hupert Internal Medicine - Infectious Disease 1124 College Ave, Fort Worth, TX 76104-4557 2006-02-20
1013982511 Cheryl K Mcdonald Internal Medicine - Infectious Disease 1125 College Ave, Fort Worth, TX 76104-4514 2006-02-20
1275533846 Catherine A Colquitt Internal Medicine - Infectious Disease 1307 8th Avenue, Suite 306, Fort Worth, TX 76104-4141 2005-07-26
1205487717 Infectious Diseases Consultants of Texas Pllc Internal Medicine - Infectious Disease 6551 Harris Pkwy Ste 110, Fort Worth, TX 76132-6105 2019-09-25
1336569433 Gennifer Meilyse Garmon Internal Medicine - Infectious Disease 1325 Pennsylvania Ave Ste 325, Fort Worth, TX 76104-2175 2014-04-16
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Dataset Information

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.