Individual provider Active NPI

Shane F Stone, M.D.

  • Family Medicine Physician
  • Denton, TX
National Provider Identifier
1104054295
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q4851 Issued in TX
Practice address
2509 Scripture St Ste 200
Denton, TX 76201-2337
Phone
(940) 898-7400
Fax
(940) 387-7327
NPI assigned
Jun 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X LL31985 SC
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 2013-01885 NC
Family Medicine Physician 207Q00000X Q4851 TX Primary

Addresses

Primary practice location

2509 Scripture St Ste 200
Denton, TX 76201-2337

Mailing address

2509 Scripture St Ste 200
Denton, TX 76201-2337
Phone (940) 898-7400

Other identifiers 2

IdentifierTypeStateIssuer
NC2247MedicaidSC
1104054295MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TX, FL3 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
I20131024000550 NC Practitioner - Family Practice 9133354343 Reassigns benefits to 2 organizations
I20160208000688 TX Practitioner - Family Practice 9133354343
I20230725002715 FL Practitioner - Family Practice 9133354343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstreamline LLCGroup PAC ID 2567846991, 3 clinicians

Practice addresses (Care Compare)

601 Brickell Key Dr
Suite 700
Miami, FL 33131-2649
Phone (833) 968-7675

Hospital & facility affiliations

  • Absolutely Angels Hospice Hospice, Pilot Point, TX, CCN A91770

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL31985SCMDFamily Medicine Physician
Q4851TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scotland Regional Health Network CurrentSince Oct 1, 2014 Accepting new patients
Scotland Regional Health Network CurrentSince Oct 1, 2014 Accepting new patients
Scotland Regional Health Network Current Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

Interoperability endpoints

  • Direct secure messaging: shanestone@ccm-tx1.direct.office.nextgen.com
  • Direct secure messaging: shane.stone.1@19573.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Absolutely Angels HospicePilot Point, TX, CCN A91770 Hospice Contracted Managing Employee
Corporate Director
Nov 1, 2023
Nov 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 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": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1104054295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 SCRIPTURE ST STE 200",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012337",
            "telephone_number": "940-898-7400",
            "fax_number": "940-387-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 SCRIPTURE ST STE 200",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012337",
            "telephone_number": "940-898-7400",
            "fax_number": "940-387-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "SHANE",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "LL31985",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2013-01885",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q4851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC2247",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104054295",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.