Individual provider Active NPI

Sha'Ray Shaw, MD

  • Neurology Physician
  • Frisco, TX
National Provider Identifier
1104387430
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
U4930 Issued in TX
Practice address
5375 Coit Rd Ste 130
Frisco, TX 75035-4914
Phone
(142) 619-1910
Fax
(214) 619-1914
NPI assigned
Mar 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X U4930 TX Primary

Addresses

Primary practice location

5375 Coit Rd Ste 130
Frisco, TX 75035-4914

Mailing address

5375 Coit Rd Ste 130
Frisco, TX 75035-4914
Phone (214) 619-1910

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
I20230831003920 TX Practitioner - Neurology 5395070080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Mississippi Medical College, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sheth, MD, P.a.Group PAC ID 1153411483, 24 clinicians

Practice addresses (Care Compare)

5375 Coit Rd
Suite 130
Frisco, TX 75035-4910
Phone (214) 619-1910

Hospital & facility affiliations

  • Methodist Charlton Medical Center Hospital, Dallas, TX, CCN 450723
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U4930TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sheth, MD, P.a. Single Specialty CurrentSince Sep 18, 2023 Accepting new patients

Locations

5375 Coit Rd
Ste 130
Frisco, TX 75035

Interoperability endpoints

  • Direct secure messaging: sshaw368422@direct.saint-lukes.org

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 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": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1104387430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5375 COIT RD STE 130",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750354914",
            "telephone_number": "214-619-1910",
            "fax_number": "214-619-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5375 COIT RD STE 130",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750354914",
            "telephone_number": "142-619-1910",
            "fax_number": "214-619-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "SHA'RAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2024-02-01",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "U4930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.