Individual provider Active NPI

Kevin R Shelly, M.D.

  • Anesthesiology Physician
  • Marble Falls, TX
National Provider Identifier
1083656060
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
K6504 Issued in TX
Practice address
810 W Highway 71
Marble Falls, TX 78654-8602
Phone
(830) 201-8000
NPI assigned
Jun 12, 2006
Last updated
Jan 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X K6504 TX Primary

Addresses

Primary practice location

810 W Highway 71
Marble Falls, TX 78654-8602

Mailing address

4408 Long Champ Dr Apt 23
Austin, TX 78746-1186
Phone (512) 680-1073

Other identifiers 2

IdentifierTypeStateIssuer
8AG658OtherTXBCBS
122786218OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kshelly1473099@direct.sw.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO, ME3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070110000295 TX Practitioner - AnesthesiologyPractitioner - Diagnostic Radiology 4284634536 Reassigns benefits to 5 organizations
I20250805003270 CO Practitioner - Anesthesiology 4284634536 Reassigns benefits to 1 organization
I20250808002931 ME Practitioner - Anesthesiology 4284634536 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Southwestern Medical School at Dallas, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians
Citizens Medical Center County of VictoriaGroup PAC ID 3577785096, 102 clinicians
Independent Physicians Network PLLCGroup PAC ID 5496029407, 218 clinicians
Animas Surgical Hospital LLCGroup PAC ID 0143295428, 61 clinicians

Practice addresses (Care Compare)

1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100

2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459

2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663

2701 Hospital Dr
Victoria, TX 77901-5749
Phone (361) 573-9181

3625 N Hall St
Suite 800
Dallas, TX 75219-5106
Phone (214) 252-3535

575 Rivergate LN
Durango, CO 81301-7487
Phone (970) 247-3537

800 W Hwy 71
Baylor Scott and White Specialty Clinic
Marble Falls, TX 78654-8602
Phone (830) 201-7100

810 W Hwy 71
Marble Falls, TX 78654-8602
Phone (830) 201-7100

810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic Anesthesiology CurrentSince Jul 15, 2025 Accepting new patients
Endo Sedation LLC Anesthesiology CurrentSince Apr 3, 2025 Accepting new patients
Citizen's Medical Center County of Victoria Anesthesiology CurrentSince Apr 7, 2025 Accepting new patients
Spectrum Healthcare Partners, P.a. Anesthesiology CurrentSince Sep 29, 2025 Accepting new patients
KRS Healthcare PLLC Anesthesiology CurrentSince Apr 27, 2025 Accepting new patients
Spectrum Healthcare Partners, P.a. CurrentSince Sep 29, 2025 Accepting new patients
Independent Physicians Network PLLC Anesthesiology CurrentSince May 1, 2025 Accepting new patients
Austin Anesthesiology Group PLLC Anesthesiology CurrentSince Aug 15, 2008 Accepting new patients
Endo Sedation LLC Anesthesiology CurrentSince Apr 3, 2025 Accepting new patients
Durango Surgery Center LLC CurrentSince Aug 15, 2025 Accepting new patients
Endo Sedation LLC Anesthesiology Current Accepting new patients
Austin Anesthesiology Group, PLLC Anesthesiology CurrentSince Aug 15, 2008 Accepting new patients
Scott & White Clinic Anesthesiology CurrentSince Jul 15, 2025 Accepting new patients
Animas Surgical Hospital, LLC Anesthesiology CurrentSince Aug 15, 2025 Accepting new patients
Balcones Anesthesiologists, P.a. Anesthesiology Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients
Pediatric Dentistry of Keller PLLC PastSince Jul 28, 2019 Accepting new patients

Locations (25 of 38)

1266 Escalante Dr
Ste 101
Durango, CO 81303
Phone (248) 396-8109

575 Rivergate Ln
Durango, CO 81301
Phone (719) 648-5678

35 Miles St
Damariscotta, ME 04543
Phone (207) 563-1234

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

33 Sewall St
Portland, ME 04102
Phone (207) 828-2101

324 Gannett Dr
Ste 200
South Portland, ME 04106
Phone (207) 482-7861

6128 S Lyncrest Ave
Sioux Falls, SD 57108
Phone (605) 334-1363

6330 S Western Ave
Ste 150
Sioux Falls, SD 57108

1111 W 34th St
Austin, TX 78705
Phone (512) 343-2466

1201 W Louis Henna Blvd
Austin, TX 78681
Phone (512) 248-7000

12200 Renfert Way
Ste G-2
Austin, TX 78758
Phone (512) 901-8340

12201 Renfert Way
Ste 120
Austin, TX 78758
Phone (512) 454-6753

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

2501 W William Cannon Dr
Ste 301
Austin, TX 78745
Phone (512) 439-7300

300 Beardsley Ln
Ste B200
Austin, TX 78746
Phone (512) 444-1414

4307 James Casey St
Austin, TX 78745
Phone (512) 416-6005

5245 W Highway 290
Austin, TX 78735
Phone (512) 509-0100

6420 Bee Caves Rd
Austin, TX 78746

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

911 W 38th St
Ste 400
Austin, TX 78705
Phone (512) 553-1700

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

5330 Overpass Rd
Ste 110
Buda, TX 78610
Phone (737) 999-6200

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

3300 Oak Lawn Ave
Ste 200
Dallas, TX 75219
Phone (214) 252-3500

3625 N Hall St
Ste 800
Dallas, TX 75219
Phone (214) 252-3500

Interoperability endpoints

  • Direct secure messaging: kshelly1473099@direct.sw.org

Organizations & group practices 18

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

View all 18

Hospital & facility affiliations 7

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1083656060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4408 LONG CHAMP DR APT 23",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787461186",
            "telephone_number": "512-680-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W HIGHWAY 71",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786548602",
            "telephone_number": "830-201-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLY",
        "first_name": "KEVIN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "K6504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AG658",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "122786218",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kshelly1473099@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "810 W Highway 71",
            "city": "MARBLE FALLS",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786548602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marble Falls, TX

Sources for this page

Verify at the official NPI Registry.