Active NPI
Shaun Patrick McKenzie, MD
- Surgical Oncology Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- P6220
- Practice address
- 4101 James Casey St Ste 100
Austin, TX 78745-1145 - Phone
- (512) 421-4250
- NPI assigned
- Jul 2, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | 43479 | KY | |
| Surgical Oncology Physician | 2086X0206X | P6220 | TX | Primary |
Addresses
Primary practice location
4101 James Casey St Ste 100
Austin, TX 78745-1145
Mailing address
PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330383602 | Medicaid | TX | |
| 330383603 | Medicaid | TX | |
| 330383604 | Medicaid | TX | |
| 330383605 | Medicaid | TX | |
| P01867717 | Other | TX | RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Surgical Oncology
- Education
- Texas Tech University Health Science Center School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4101 James Casey St
Suite 100
Austin, TX 78745-1145
Phone (512) 447-2202
Hospital & facility affiliations
- St. David'S Healthcare at Home
- St David'S Medical Center
- Round Rock Medical Center
- North Austin Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.12 of 100
- Quality
- 67.48
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Oncology PA | Current | Accepting new patients | |
| Surgical Associates of Austin, P.a. | Current | Accepting new patients | |
| Lexington Surgical Specialists | Surgical Oncology | Current | Accepting new patients |
| California Cancer Specialists Medical Group Inc | Past | Accepting new patients | |
| Bluegrass Internal Medicine and Nephrology | Past | Accepting new patients | |
| Bluegrass Health Psychology, Inc. | Past | Accepting new patients | |
| Marshall Emergency Services Associates, PLLC | Past | Accepting new patients |
Locations
1760 Nicholasville Rd
Ste 202
Lexington, KY 40503
Phone (859) 277-5711
6500 N Mopac Expy
Bldg 2
Austin, TX 78731
Phone (512) 343-1878
1015 E 32nd St
Ste 308
Austin, TX 78705
Phone (512) 427-2500
12221 Renfert Way
Ste 300
Austin, TX 78758
Phone (512) 873-8900
4101 James Casey St
Ste 100
Austin, TX 78745
Phone (512) 447-2202
7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313
2410 Round Rock Ave
Ste 150
Round Rock, TX 78681
Phone (512) 341-8724
Interoperability endpoints
- shaunmckenzie@ls.allscriptsdirect.net
- https://app.meldrx.com/api/fhir/ei-bhp
- shaun.mckenzie@txo.ikm.direct-ci.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 and National Provider Directory roles.
-
- Medical Oncology Physician
- El Paso, TX
- NPI 1811944101
-
- Surgery Physician
- Austin, TX
- NPI 1063457257
-
- Medical Oncology Physician
- Austin, TX
- NPI 1972770303
-
- Clinical Psychologist
- Lexington, KY
- NPI 1619061470
-
- Nephrology Physician
- Lexington, KY
- NPI 1609361724
-
- Anesthesiology Physician
- Duarte, CA
- NPI 1912006636
-
- Emergency Medicine Physician
- Lexington, KY
- NPI 1891737185
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Austin, TX
- NPI 1861069718
-
- General Acute Care Hospital
- Austin, TX
- NPI 1629021845
-
- General Acute Care Hospital
- Round Rock, TX
- NPI 1649223645
-
- General Acute Care Hospital
- Austin, TX
- NPI 1720033947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572912000000",
"number": "1114189933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 911230",
"city": "DALLAS",
"state": "TX",
"postal_code": "753911230",
"telephone_number": "972-997-8000",
"fax_number": "972-234-2987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 JAMES CASEY ST STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787451145",
"telephone_number": "512-421-4250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENZIE",
"first_name": "SHAUN",
"middle_name": "PATRICK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-02",
"last_updated": "2019-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "KY",
"license": "43479",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "TX",
"license": "P6220",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "330383602",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "330383603",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "330383604",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "330383605",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P01867717",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.