NPI age
19 years
Enumerated 2006-09-06
● Active
Type 1 · Individual
DR. Kavitha Shashikumar, M.D.
Shashikumar is 1 of 7 preventive medicine providers in Fort Worth and 1 of 100 in Texas.
Primary specialty
Preventive Medicine
Plus 2 subspecialties
Licensed in
GA, TX
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-03-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 100 active preventive medicine providers in Texas.
NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
2 states
Top 95% — 5% of peers are multi-state
Subspecialties
1
In the 64% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Practice location
6528 Saucon Valley Dr
Fort Worth, TX 761325452
Mailing address
Po Box 16387
Fort Worth, TX 761620387
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1600 Vernon Rd Ste G
Lagrange, GA 302404143
Specialties
-
Preventive Medicine PrimaryA specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns...
-
Internal MedicineAn internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 154604602 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.