Individual provider Active NPI

Shaun Peter Garff, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Dallas, TX
National Provider Identifier
1093135816
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
Q5189 Issued in TX
Practice address
4560 Lake Ridge Parkway
Suite 300
Dallas, TX 75052-3460
Phone
(214) 278-5000
Fax
(214) 278-5001
NPI assigned
Apr 19, 2014
Last updated
Dec 14, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X Q5189 TX Primary

Addresses

Primary practice location

4560 Lake Ridge Parkway
Suite 300
Dallas, TX 75052-3460

Mailing address

4560 Lake Ridge Parkway
Suite 300
Dallas, TX 75052-3460
Phone (214) 278-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, UT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150916001844 TX Practitioner - Sports MedicinePractitioner - Family Practice 6002037181 Reassigns benefits to 2 organizations
I20170626001306 UT Practitioner - Family Practice 6002037181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians
Physician Associates of Southwest DallasGroup PAC ID 3274519293, 37 clinicians

Practice addresses (Care Compare)

2700 E Broad St
Mansfield, TX 76063-5899
Phone (214) 884-4700

3000 Blackburn St
Suite 130
Dallas, TX 75204-2217
Phone (214) 599-8624

3500 W Wheatland Rd
Dallas, TX 75237-3460
Phone (214) 947-5400

5224 S State Hwy 360
Grand Prairie, TX 75052-0950
Phone (972) 522-0691

979 Don Floyd Dr
Midlothian, TX 76065-6289
Phone (817) 453-3500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Aug 8, 2018 Accepting new patients
Ihc Health Services Inc. CurrentSince Jun 1, 2017 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Physician Associates of Southwest Dallas Sports Medicine CurrentSince Aug 6, 2018 Accepting new patients
Medhealth Current Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients
Paul Phillips III, M.D., P.a. Past Accepting new patients
Reclaim Physicians Medical Group Inc PastSince Jan 22, 2017 Accepting new patients

Locations

122 W Colorado Blvd
Dallas, TX 75208
Phone (214) 947-6555

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

4560 Lake Ridge Pkwy
Ste 300
Grand Prairie, TX 75052
Phone (214) 278-5000

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

4403 Harrison Blvd
Ogden, UT 84403
Phone (801) 387-2800

Interoperability endpoints

  • Direct secure messaging: sgarff6229@dm.mhd.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1397865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1093135816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 LAKE RIDGE PARKWAY",
            "address_2": "SUITE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "750523460",
            "telephone_number": "214-278-5000",
            "fax_number": "214-278-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 LAKE RIDGE PARKWAY",
            "address_2": "SUITE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "750523460",
            "telephone_number": "214-278-5000",
            "fax_number": "214-278-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARFF",
        "first_name": "SHAUN",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-19",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "Q5189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.