SHAMJI P BADHIWALA (MD) – Psychiatry Physician, NPI 1700841251

SHAMJI P BADHIWALA (MD) is a healthcare provider. based in Wylie, Texas. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. H3440 (TX). The NPI Number for SHAMJI P BADHIWALA (MD) is 1700841251

Main info

Male
Sole Proprietor
44 Years Of Experience
Accepts Medicare Assignment
Name
SHAMJI P BADHIWALA (MD)
NPI
1700841251
Phone
(214) 233-5615
Address
2362 ELM GROVE RD
Enumeration Date
18 April 2006
Last Update Date
18 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2547523451
Graduation Year
1982 (44 years ago)
PAC ID
6709974686
Group Practice PAC ID
9830105105
Professional Enrollment ID
I20071109000230
Address ID
TX767011810WA110XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,132 PSYCHIATRY in TX

Provider Addresses for SHAMJI P BADHIWALA (MD)

  • 2362 ELM GROVE RD

    WYLIE, TX 750986236

    Phone: (214) 233-5615

    Fax: (972) 852-9016

    Type: Location

  • 110 S 12TH ST

    WACO, TX 767011810

    Phone: (254) 752-3451

    Fax: (972) 852-9016

    Type: Location

  • 716, Auburn Court, Savannah Texas, Denton County, Texas, 76227, United States

    SAVANNAH, TX 762277924

    Phone: (214) 704-7328

    Fax: (972) 852-9016

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-06-20 • Largest payer in this snapshot: ABBVIE INC. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$19
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: 2007-11-09

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
I20071109000230IPsychiatryTXTBD

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
99212Established patient office or other outpatient visit, 10-19 minutes26676$0
Q3014Telehealth originating site facility fee19963$0
96372Injection of drug or substance under skin or into muscle10312$0
View full utilization report →

Insurance plans in this area (ZIP 75098)

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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: 9830105105View full group profile
NameSpecialtyState
-TX
Mental Health CounselorTX
Clinical Social WorkerTX
Nurse PractitionerTX
P S Y C H I A T R YTX
-TX
Mental Health CounselorTX
-IL
Marriage And Family TherapistCA
P S Y C H I A T R YTX

Reviews

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Frequently asked questions

What number should I use to identify SHAMJI P BADHIWALA (MD) for billing?
Administrative and clinical systems typically use NPI 1700841251 for SHAMJI P BADHIWALA (MD).
Is SHAMJI P BADHIWALA (MD)'s NPI status active today?
Active status means SHAMJI P BADHIWALA (MD)'s NPI record is not deactivated in the public file.
What type of care does SHAMJI P BADHIWALA (MD) provide?
SHAMJI P BADHIWALA (MD)'s profile centers on Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to SHAMJI P BADHIWALA (MD)?
SHAMJI P BADHIWALA (MD) shows a connection to Wylie, Texas in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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