SHAYZREEN M ROSHANRAVAN (MD) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1861502627

SHAYZREEN M ROSHANRAVAN (MD) is a healthcare provider. based in Plano, Texas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. M4490 (TX). The NPI Number for SHAYZREEN M ROSHANRAVAN (MD) is 1861502627

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
SHAYZREEN M ROSHANRAVAN (MD)
NPI
1861502627
Phone
(972) 596-3242
Address
4700 DEXTER DR STE 400
Enumeration Date
30 August 2006
Last Update Date
17 October 2013

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
4698005200
Graduation Year
2002 (24 years ago)
PAC ID
2163524109
Group Practice PAC ID
1355254210
Professional Enrollment ID
I20070222000502
Address ID
TX750782339PR821XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,165 OBSTETRICS/GYNECOLOGY in TX

Provider Addresses for SHAYZREEN M ROSHANRAVAN (MD)

  • 4700 DEXTER DR STE 400

    PLANO, TX 750935299

    Phone: (972) 596-3242

    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 24 Open Payments records for all available years, with a total value of $440.

Total Amount is formed as General ($440) + Research ($0) + Ownership ($0) = $440.

Last reported payment date: 2024-09-14 • Largest payer in this snapshot: Axonics, Inc. ($202).

Total Amount

$440

General + Research + Ownership

Payments

24

Total payment records

General Amount

$440

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-14

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: 2007-02-22

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
I20070222000502IObstetrics/GynecologyTXTBD

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 minutes289251$0
83986Body fluid ph level246244$0
51798Ultrasound measurement of bladder capacity after voiding183182$0
99204New patient office or other outpatient visit, 45-59 minutes174174$0
81003Automated urinalysis test169141$0
View full utilization report →

Insurance plans in this area (ZIP 75093)

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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: 1355254210View full group profile
NameSpecialtyState
Radiation OncologyTX
Nurse PractitionerTX
Internal MedicineTX
-TX
-TX
Clinical Social WorkerTX
-TX
Orthopedic SurgeryTX
Clinical PsychologistTX
Internal MedicineTX

Reviews

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Frequently asked questions

Can I use this page to confirm SHAYZREEN M ROSHANRAVAN (MD)'s NPI?
Yes. SHAYZREEN M ROSHANRAVAN (MD) is listed with NPI 1861502627 in the public NPI dataset.
Is SHAYZREEN M ROSHANRAVAN (MD) listed as active for patients and plans?
The listing shows SHAYZREEN M ROSHANRAVAN (MD) as active in the NPI system.
What taxonomy line describes SHAYZREEN M ROSHANRAVAN (MD)?
For research purposes, treat SHAYZREEN M ROSHANRAVAN (MD) as Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect SHAYZREEN M ROSHANRAVAN (MD) on a map?
Expect Plano, Texas as a primary anchor for SHAYZREEN M ROSHANRAVAN (MD) unless the record lists multiple sites.
Is the information about SHAYZREEN M ROSHANRAVAN (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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