DR. TANEYA SHESTOPALOVA (MD) – Diagnostic Radiology Physician, NPI 1528293263

DR. TANEYA SHESTOPALOVA (MD) is a healthcare provider. based in Dallas, Texas. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 47475 (AZ). The NPI Number for DR. TANEYA SHESTOPALOVA (MD) is 1528293263

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. TANEYA SHESTOPALOVA (MD)
NPI
1528293263
Phone
(409) 772-2222
Address
PO BOX 650859
Enumeration Date
26 May 2009
Last Update Date
14 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4097722222
Graduation Year
2009 (17 years ago)
PAC ID
3476872284
Group Practice PAC ID
3375456734
Professional Enrollment ID
I20190618000576
Address ID
TX775555302GA301XXBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness75
Years active:17State licenses:2Digital endpointsOther names

3,303 DIAGNOSTIC RADIOLOGY in TX

Provider Addresses for DR. TANEYA SHESTOPALOVA (MD)

  • PO BOX 650859

    DEPT 710

    DALLAS, TX 752650859

    Phone: (409) 772-2222

    Type: Mailing

  • 301 University Blvd

    Galveston, TX 77555

    Phone: (409) 772-1011

    Type: Location

  • Norwalk Hospital, 34, Maple Street, Clarmont, Norwalk, Fairfield County, Connecticut, 06856, United States

    NORWALK, CT 068503815

    Phone: (860) 575-4644

    Type: Mailing

  • 301, University Boulevard - 6th Street, Galveston, Galveston County, Texas, 77550, United States

    GALVESTON, TX 77555

    Phone: (409) 772-1011

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-06-18

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
I20190618000576IDiagnostic RadiologyTXTBD

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
71045X-ray of chest, 1 view426399$0
70450Ct scan head or brain without contrast379361$0
72125Ct scan of upper spine without contrast126123$0
74177Ct scan of abdomen and pelvis with contrast116113$0
74176Ct scan of abdomen and pelvis without contrast8685$0
View full utilization report →

Insurance plans in this area (ZIP 75265)

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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: 3375456734View full group profile
NameSpecialtyState
-TX
-TX
-NY
Sleep Medicine, Critical Care (Intensivists)TX
Surgical OncologyNY
General SurgeryTN
General SurgeryGA
U R O L O G YNY
Nurse PractitionerTX
O B S T E T R I C S/ G Y N E C O L O G YTX

Reviews

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Frequently asked questions

Is DR. TANEYA SHESTOPALOVA (MD) listed with a National Provider Identifier?
Yes — DR. TANEYA SHESTOPALOVA (MD) has NPI 1528293263 on file in the registry.
Active or inactive — what applies to DR. TANEYA SHESTOPALOVA (MD)?
You should see DR. TANEYA SHESTOPALOVA (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. TANEYA SHESTOPALOVA (MD)?
At a glance, DR. TANEYA SHESTOPALOVA (MD) is tied to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where in Texas is DR. TANEYA SHESTOPALOVA (MD) registered?
Use Dallas, Texas as the headline location for DR. TANEYA SHESTOPALOVA (MD) here.
When was this NPI issued?
Enumeration for DR. TANEYA SHESTOPALOVA (MD) is noted as May 26, 2009 where the registry provides it.

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