Individual provider Active NPI

Patrick William Shovlin III, MD

  • Surgery Physician
  • Flower Mound, TX
National Provider Identifier
1003908500
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
J6725 Issued in TX
Practice address
4370 Medical Arts Dr.
Ste 200
Flower Mound, TX 75028
Phone
(972) 219-6800
Fax
(972) 219-0053
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X J6725 TX Primary

Addresses

Primary practice location

4370 Medical Arts Dr.
Ste 200
Flower Mound, TX 75028

Mailing address

4370 Medical Arts Dr. Ste
Ste 200
Flower Mound, TX 75028
Phone (972) 219-6800

Other identifiers 1

IdentifierTypeStateIssuer
127580201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090820000881 TX Practitioner - General Surgery 6709930092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Texas Tech University Health Science Center School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4370 Medical Arts Dr
Suite 200
Flower Mound, TX 75028-1719
Phone (972) 219-6800

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Flower Mound Hospital, Flower Mound, TX, CCN 670068

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)26
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J6725TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick W. Shovlin III, MD, PA CurrentSince Jun 1, 2011 Accepting new patients

Locations

4370 Medical Arts Dr
Ste 200
Flower Mound, TX 75028
Phone (972) 219-6800

4300 Windsor Centre Trl
Ste 400
Flowermound, TX 75028
Phone (214) 222-8150

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1003908500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 MEDICAL ARTS DR. STE",
            "address_2": "STE 200",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "75028",
            "telephone_number": "972-219-6800",
            "fax_number": "972-219-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 MEDICAL ARTS DR.",
            "address_2": "STE 200",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "75028",
            "telephone_number": "972-219-6800",
            "fax_number": "972-219-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOVLIN",
        "first_name": "PATRICK",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "J6725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127580201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.