DR. SHAILENDRA DAS (D.O.) – Pediatric Pulmonology Physician, NPI 1013235233

DR. SHAILENDRA DAS (D.O.) is a healthcare provider. based in Fort worth, Texas. specializing in PEDIATRIC MEDICINE, PULMONARY DISEASE. They hold the professional credentials D.O.. They hold a License No. M8617 (TX). The NPI Number for DR. SHAILENDRA DAS (D.O.) is 1013235233

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHAILENDRA DAS (D.O.)
NPI
1013235233
Phone
(682) 885-1855
Address
PO BOX 99371
Enumeration Date
12 May 2010
Last Update Date
5 November 2012

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Secondary Phone
8328241000
Graduation Year
2005 (21 years ago)
PAC ID
2264600428
Group Practice PAC ID
4385722081
Professional Enrollment ID
I20110714000612
Address ID
TX787598319AU8611XEXPY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:16State licenses:1Digital endpointsOther names

2,256 PEDIATRIC MEDICINE in TX

Provider Addresses for DR. SHAILENDRA DAS (D.O.)

  • PO BOX 99371

    FORT WORTH, TX 761990371

    Phone: (682) 885-1855

    Fax: (682) 885-7347

    Type: Mailing

  • 1500 COOPER ST

    FORT WORTH, TX 761042710

    Phone: (682) 885-6299

    Fax: (682) 885-1090

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $18,869.

Total Amount is formed as General ($18,869) + Research ($0) + Ownership ($0) = $18,869.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($14,414).

Total Amount

$18,869

General + Research + Ownership

Payments

32

Total payment records

General Amount

$18,869

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-07-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110714000612IPediatric MedicineTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76199)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385722081View full group profile
NameSpecialtyState
Pediatric MedicineTX
Pediatric Medicine, Allergy/ImmunologyTX
Physician AssistantTX
Orthopedic SurgeryTX
-TX
-TX
U R O L O G YAR
Hematology/Oncology, Pediatric MedicineTX
-TX
N E P H R O L O G YTX

Reviews

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Frequently asked questions

How do I look up DR. SHAILENDRA DAS (D.O.) by NPI?
Use NPI 1013235233 when you need to reference DR. SHAILENDRA DAS (D.O.) in forms, claims, or directories.
Is DR. SHAILENDRA DAS (D.O.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. SHAILENDRA DAS (D.O.)'s specialty in plain language?
Clinically, the directory lists DR. SHAILENDRA DAS (D.O.) with Pediatric Pulmonology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. SHAILENDRA DAS (D.O.)?
The page summarizes Fort Worth, Texas for DR. SHAILENDRA DAS (D.O.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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