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Deactivated NPI 1760128961 Deactivated / Inactive NPI Male Practitioner

Dr. Prem Shankar , MD

Internal Medicine • Kyle, TX

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Prem Shankar has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 10, 2022
NPI Deactivation Date December 21, 2022
Total Practice Duration ~4 Years of Practice (2018 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Prem Shankar, MD was a registered Internal Medicine practicing in Kyle, TX. Throughout an active medical career spanning 4 years, Dr. Shankar provided care at the practice location at 6001 KYLE PKWY until profile deactivation on 2022-12-21.

Dr. Shankar was affiliated with Usacs Integrated Acute Care Services Of Texas, Pllc and accepted Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

6001 Kyle Pkwy

Kyle, TX 786406112

Telephone 5125045000
Associated Practice Facility / Clinic
🏢 Ascension Seton Facility NPI 1619115383

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Kyle, TX

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -12.8 yrs vs City Avg
City Avg: 20.8 Yrs
State Avg: 26.2 Yrs
Regional Practice Density
20 Specialists

Practicing in Kyle, TX (9538 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shankar (8 Years) 8 Yrs
Kyle Specialty Average (20.8 Years) 20.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-07-19
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX V6698

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Usacs Integrated Acute Care Services Of Texas, Pllc

6001 Kyle Pkwy, Kyle, TX 786406112

Phone: 5125045125

Usacs Integrated Acute Care Services Of Texas, Pllc

260 Cully Dr, Kerrville, TX 780285950

Phone: 8302587747

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Julia Holdridge , FNP-C

Nurse Practitioner - Family

NPI 1023774403

Family Nurse Practitioner (Certified)

NPI 1104695733

Master of Science in Nursing, Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Elizabeth Vallot , AGCNS-BC

Clinical Nurse Specialist

NPI 1124691308

AGCNSBC

Dr. David Lawlor , MD

Emergency Medicine

NPI 1285376814

Doctor of Medicine (M.D.)

NPI 1316194533

Doctor of Medicine (M.D.)

Dr. Humberto Salazar , MD

Emergency Medicine

NPI 1326613449

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location July 19, 2025

Registered at 6001 KYLE PKWY, KYLE, TX 786406112 (Tel: 5125045000)

📍
Updated Business Mailing Address July 19, 2025

Registered at 6001 KYLE PKWY, KYLE, TX 786406112 (Tel: 5125045000)

🔄
NPI Profile Reactivated January 06, 2023

Record officially reactivated for active practice on January 06, 2023

👤
Provider Name / Credentials Updated January 06, 2023

Recorded as PREM SHANKAR, M.D.

⚠️
NPI Profile Deactivated December 21, 2022

Record deactivated on December 21, 2022

NPI Profile Active May 10, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location May 10, 2022

Registered at MAIMONIDES MEDICAL CENTER, 4802 10TH AVENUE, BROOKLYN, NY 11219 (Tel: 7182836000)

📍
Updated Business Mailing Address May 10, 2022

Registered at 4802 10TH AVENUE INTERNAL MEDICINE RESIDENCY PROGRAM, MAIMONIDES MEDICAL CENTER, BROOKLYN, NY 11219 (Tel: 7182836000)

👤
Provider Name / Credentials Updated May 10, 2022

Recorded as PREM SHANKAR, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 10, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760128961
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2022
Last Update: July 19, 2025
Deactivation Date: December 21, 2022
Sole Proprietor: No

Mailing Address

6001 Kyle Pkwy

Kyle, TX 786406112

Phone: 5125045000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.