DR. SHANTALA SAMART (M.D.) – Infectious Disease Physician, NPI 1376720482

DR. SHANTALA SAMART (M.D.) is a healthcare provider. based in Mansfield, Texas. specializing in INFECTIOUS DISEASE, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. P0129 (TX). The NPI Number for DR. SHANTALA SAMART (M.D.) is 1376720482

Main info

Female
16 Years Of Experience
Name
DR. SHANTALA SAMART (M.D.)
NPI
1376720482
Phone
(817) 539-9091
Address
309 REGENCY PKWY
Enumeration Date
31 January 2008
Last Update Date
10 March 2025

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Secondary Phone
8175399091
Graduation Year
2010 (16 years ago)
PAC ID
4688845381
Group Practice PAC ID
0042593121
Professional Enrollment ID
I20110928000504
Address ID
TX760142085AR515XXRDXX489
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

674 INFECTIOUS DISEASE in TX

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Provider Addresses for DR. SHANTALA SAMART (M.D.)

  • 309, Regency Parkway, Walnut Landing, Mansfield, Tarrant County, Texas, 76063, United States

    STE 205

    MANSFIELD, TX 760637305

    Phone: (817) 539-9091

    Type: Location

  • 515 W Mayfield Rd Ste 404

    Arlington, TX 760142085

    Phone: (817) 539-9091

    Fax: (817) 539-9553

    Type: Location

  • 350 MATLOCK RD STE 201

    MANSFIELD, TX 76063

    Phone: (817) 539-9091

    Fax: (817) 539-9553

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $527.

Total Amount is formed as General ($527) + Research ($0) + Ownership ($0) = $527.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Gilead Sciences, Inc. ($142).

Total Amount

$527

General + Research + Ownership

Payments

14

Total payment records

General Amount

$527

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2011-09-28

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
I20110928000504IInfectious DiseaseTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,534404$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes166158$0
99214Established patient office or other outpatient visit, 30-39 minutes16576$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes149146$0
99215Established patient office or other outpatient visit, 40-54 minutes4232$0
View full utilization report →

Insurance plans in this area (ZIP 76063)

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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: 0042593121View full group profile
NameSpecialtyState
Internal Medicine, Infectious DiseaseTX
Infectious Disease, Internal MedicineTX
Nurse PractitionerTX
Infectious Disease, Internal MedicinePA
Infectious Disease, Internal MedicineTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What federal number belongs to DR. SHANTALA SAMART (M.D.)?
The federal identifier for DR. SHANTALA SAMART (M.D.) is NPI 1376720482.
Is DR. SHANTALA SAMART (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. SHANTALA SAMART (M.D.)?
The page reflects Infectious Disease Physician for DR. SHANTALA SAMART (M.D.). Clinical services aligned with this taxonomy classification.
Where is DR. SHANTALA SAMART (M.D.)'s primary listing?
We display Mansfield, Texas because that is what the record indicates for DR. SHANTALA SAMART (M.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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