ANITA SHIWACH – Psychiatry Physician, NPI 1508335050

ANITA SHIWACH is a healthcare provider. based in Desoto, Texas. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA12350 (TX). The NPI Number for ANITA SHIWACH is 1508335050

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
ANITA SHIWACH
NPI
1508335050
Phone
(972) 283-6286
Address
941 YORK DR STE 205
Enumeration Date
14 November 2018
Last Update Date
28 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9722836286
Graduation Year
2018 (8 years ago)
PAC ID
6901147263
Group Practice PAC ID
4587744560
Professional Enrollment ID
I20190415001048
Address ID
TX751152066DE941XXDRXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

8,497 PHYSICIAN ASSISTANT in TX

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Provider Addresses for ANITA SHIWACH

  • York Drive, DeSoto, Dallas County, Texas, 75115, United States

    DESOTO, TX 751152066

    Phone: (972) 283-6286

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 52 Open Payments records for all available years, with a total value of $942.

Total Amount is formed as General ($942) + Research ($0) + Ownership ($0) = $942.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($352).

Total Amount

$942

General + Research + Ownership

Payments

52

Total payment records

General Amount

$942

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2019-04-15

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
I20190415001048IPhysician AssistantTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes5115$0
View full utilization report →

Insurance plans in this area (ZIP 75115)

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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: 4587744560View full group profile
NameSpecialtyState
Mental Health CounselorTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is the registry number for ANITA SHIWACH?
The registry entry for ANITA SHIWACH shows NPI 1508335050.
Is ANITA SHIWACH's NPI status active today?
Active status means ANITA SHIWACH's NPI record is not deactivated in the public file.
What type of care does ANITA SHIWACH provide?
ANITA SHIWACH's profile centers on Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is ANITA SHIWACH tied to Desoto, Texas?
If you are local to Desoto, Texas, ANITA SHIWACH may be relevant to your search.
Who maintains ANITA SHIWACH's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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