DR. SHANTAVEER GANGU MD
NPI 1053670273
Pediatrics - Pediatric Critical Care Medicine in Memphis, TN
NPI Status: Active since May 08, 2012
- Individual
- Male
- Pediatrics
- Pediatric Critical Care Medicine
- Accepts Insurance
- PECOS Enrolled
About SHANTAVEER GANGU
This page provides the complete NPI Profile along with additional information for Shantaveer Gangu, a pediatrician established in Memphis, Tennessee with a medical specialization in Pediatrics, focusing in pediatric critical care medicine . The healthcare provider is registered in the NPI registry with number 1053670273 assigned on May 2012. The practitioner's primary taxonomy code is 2080P0203X with license number 54251 (TN). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1053670273
- Provider Name
- DR. SHANTAVEER GANGU MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 848 ADAMS AVE MEMPHIS, TN 38103
- Location Phone
- (901) 287-7337
- Mailing Address
- 51 N DUNLAP ST G145 MEMPHIS, TN 38105
- Mailing Phone
- (901) 287-5594
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-08-2012
- Last Update Date
- 08-03-2023
- Code Navigator
A pediatrician like Shantaveer Gangu is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Critical Care Medicine
- Taxonomy Code
- 2080P0203X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 54251
- License State
- TN
- Taxonomy Description
- A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
- BSW Elite Gold HMO 012 - HMO
- BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
- BSW Prime Silver HMO 005 - HMO
- BSW Savers Bronze HMO H S A 006 - HMO
- BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) - HMO
- BlueCross B07S HSA - EPO
- BlueCross B15S $0 virtual care from Teladoc Health � - EPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental - EPO
- BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Shantaveer Gangu is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 5 | 3 | 6 | 7 | 0 | 2 | 7 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 10 | 3 | 12 | 7 | 0 | 2 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 0 + 3 + 1 + 2 + 7 + 0 + 2 + 1 + 4 + 24 = 47 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 47 = 3 | 3 | ||||||||
The NPI number 1053670273 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1962402305 | DR. JAMPANA RAJU MD Individual | Emergency Medicine (Pediatric Emergency Medicine) | 848 ADAMS AVE MEMPHIS, TN 38103 (901) 287-6112 |
| 1871593897 | DR. JAMES A ODONNELL MD Individual | Emergency Medicine (Pediatric Emergency Medicine) | 848 ADAMS AVE MEMPHIS, TN 38103 (901) 287-6112 |
| 1083728331 | MS. ASHLEY M PIPER NP Individual | Nurse Practitioner (Pediatrics) | 848 ADAMS AVE MEMPHIS, TN 38103 (901) 287-6112 |
| 1942287610 | MS. DAVONNA S LEDET RN NP Individual | Nurse Practitioner (Family) | 848 ADAMS AVE NEUROSCIENCE CLINIC - LOBBY LEVEL MEMPHIS, TN 38103 (901) 287-5060 |
| 1659372613 | DR. JOHN K ESHUN MD Individual | Pediatrics (Pediatric Gastroenterology) | 848 ADAMS AVE MEMPHIS, TN 38103 (901) 287-5235 |
| 1386064913 | MRS. LINDSAY HAND BURGESS NNP-BC Individual | Nurse Practitioner (Neonatal) | 848 ADAMS AVE MEMPHIS, TN 38103 (901) 287-4800 |
| 1144508854 | PREET KIRAN SANDHU MD Individual | Radiology (Diagnostic Radiology) | 848 ADAMS AVE RADIOLOGY G216 MEMPHIS, TN 38103 (901) 287-6938 |
| 1760482434 | PEDIATRIC EMERGENCY SPECIALISTS, PC Organization | Emergency Medicine (Pediatric Emergency Medicine) | 848 ADAMS AVE MEMPHIS, TN 38103 (901) 287-6112 |
| 1942461983 | DR. LAPRECIOUS LIBERTY NADARAH HARROLD MD Individual | Pediatrics | 848 ADAMS AVE MEMPHIS, TN 38103 (901) 287-7337 |
| 1891893020 | MICHAEL A REBOLLEDO M.D. Individual | Pediatrics (Pediatric Cardiology) | 848 ADAMS AVE L400 MEMPHIS, TN 38103 (901) 287-7337 |
| 1528429180 | MRS. CATHERINE PARKER APN, NNP-BC Individual | Nurse Practitioner (Neonatal, Critical Care) | 848 ADAMS AVE NICU, 4TH FLOOR MEMPHIS, TN 38103 (901) 287-8400 |
| 1437159126 | DR. BARRY G GILMORE MD Individual | Emergency Medicine (Pediatric Emergency Medicine) | 848 ADAMS AVE MEMPHIS, TN 38103 (901) 287-6112 |
| 1881694255 | DR. MARY P MCGINTY MD Individual | Emergency Medicine (Pediatric Emergency Medicine) | 848 ADAMS AVE MEMPHIS, TN 38103 (901) 287-6112 |
| 1528068962 | DR. JOSEPH V POLLACK MD Individual | Emergency Medicine (Pediatric Emergency Medicine) | 848 ADAMS AVE MEMPHIS, TN 38103 (901) 287-6112 |
| 1649270919 | DR. AMY L HERTZ MD Individual | Emergency Medicine (Pediatric Emergency Medicine) | 848 ADAMS AVE MEMPHIS, TN 38103 (901) 287-6112 |
| 1962402982 | DR. TIMOTHY J OCONNOR MD Individual | Emergency Medicine (Pediatric Emergency Medicine) | 848 ADAMS AVE MEMPHIS, TN 38103 (901) 287-6112 |
| 1760830061 | MICHELLE RICKARD APN Individual | Nurse Practitioner (Pediatrics) | 848 ADAMS AVE MEMPHIS, TN 38103 (901) 287-7337 |
| 1982870119 | DR. JASON NATHANIEL JOHNSON M.D. Individual | Pediatrics | 848 ADAMS AVE L400 MEMPHIS, TN 38103 (919) 684-8111 |
| 1831423607 | DR. MARIANNA RIVAS-COPPOLA M.D Individual | Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology) | 848 ADAMS AVE SUITE L400 MEMPHIS, TN 38103 (901) 287-7337 |
| 1619289683 | DR. KENICE FERGUSON-PAUL MD Individual | Pediatrics | 848 ADAMS AVE MEMPHIS, TN 38103 (901) 287-7337 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053670273, enumerated in the NPI registry as an "individual" on May 08, 2012
The provider is located at 848 Adams Ave Memphis, Tn 38103 and the phone number is (901) 287-7337
The provider's speciality is Pediatrics with taxonomy code 2080P0203X with a focus in Pediatric Critical Care Medicine
The provider might be accepting Accepts: Baylor Scott and White Health Plan and BlueCross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on May 08, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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