Individual provider Active NPI

Donna Shanks, D.O.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1033207196
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J3216 Issued in TX
Practice address
5656 Kelley St
Houston, TX 77026-1967
Phone
(713) 566-5000
Fax
(713) 566-5045
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J3216 TX Primary

Addresses

Primary practice location

5656 Kelley St
Houston, TX 77026-1967

Mailing address

PO Box 201088
Houston, TX 77216-1088
Phone (713) 500-3500

Other identifiers 2

IdentifierTypeStateIssuer
8W2027OtherTXBCBSTX
134744508MedicaidTX

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
I20151006002216 TX Practitioner - General Practice 6406858539 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Ohio University, College of Osteopathic Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visiting Doctors Management of Texas LLCGroup PAC ID 1456725001, 5 clinicians
Home Visiting Doctors Management LLCGroup PAC ID 7214195999, 3 clinicians

Practice addresses (Care Compare)

11200 Broadway St
Pearland, TX 77584-9787
Phone (800) 409-1920

3506 Chesapeake CT
Pearland, TX 77584-9549
Phone (832) 398-6786

5050 Quorum Dr
Suite 700
Dallas, TX 75254-1410
Phone (800) 409-1920

Hospital & facility affiliations

  • Abba Gentle Healthcare LLC Home health agency, Houston, TX, CCN 747580
  • Qa Home Health Services Inc Home health agency, Houston, TX, CCN 747370
  • The Four Group Homecare LLC Home health agency, Houston, TX, CCN 679363
  • Continuum Home Health LLC Home health agency, Houston, TX, CCN 748087
  • PDR Home Health Services Home health agency, Houston, TX, CCN 459422

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Doctors Management of Texas LLC CurrentSince Mar 1, 2023 Accepting new patients
Home Visiting Doctors Management LLC CurrentSince Oct 8, 2020 Accepting new patients
American Visiting Doctors LLC CurrentSince Oct 1, 2020 Accepting new patients
Healthcare Liaison Services, LLC CurrentSince Oct 1, 2020 Accepting new patients

Locations

5050 Quorum Dr
Ste 700
Dallas, TX 75254
Phone (214) 402-0101

Interoperability endpoints

  • Direct secure messaging: donna.shanks@accesshealth.directbygreenway.com

Organizations & group practices 4

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 5

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1033207196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201088",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772161088",
            "telephone_number": "713-500-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 KELLEY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770261967",
            "telephone_number": "713-566-5000",
            "fax_number": "713-566-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKS",
        "first_name": "DONNA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J3216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8W2027",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134744508",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.