Individual provider Active NPI

Naomi N Shields, M.D.

  • Orthopaedic Surgery Physician
  • San Antonio, TX
National Provider Identifier
1164499653
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
R5038 Issued in TX
Practice address
18626 Hardy Oak Blvd Ste 101
San Antonio, TX 78258-4210
Phone
(210) 878-4116
Fax
(210) 878-4113
NPI assigned
Mar 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X R5038 TX
Orthopaedic Surgery Physician 207X00000X R5038 TX Primary

Addresses

Primary practice location

18626 Hardy Oak Blvd Ste 101
San Antonio, TX 78258-4210

Mailing address

Id# 2163
PO Box 659506
San Antonio, TX 78265-9506
Phone (210) 878-4116

Other identifiers 1

IdentifierTypeStateIssuer
3819674-01MedicaidTX

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
I20180321001266 TX Practitioner - Orthopedic Surgery 1355325655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Albany Medical College of Union University, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tru Ortho, PLLCGroup PAC ID 3577816024, 2 clinicians

Practice addresses (Care Compare)

18626 Hardy Oak Blvd
Suite 101
San Antonio, TX 78258-4218
Phone (210) 878-4116

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R5038TXMDOrthopaedic Foot and Ankle Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tru Ortho, PLLC Orthopaedic Surgery CurrentSince Oct 13, 2018 Accepting new patients
Texas Bone Health and Wellness Center PastSince Jul 22, 2025 Accepting new patients

Locations

18626 Hardy Oak Blvd
Ste 101
San Antonio, TX 78258
Phone (210) 878-4116

14546 Brook Hollow Blvd
San Antonio, TX 78232
Phone (210) 363-9062

Organizations & group practices 2

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1164499653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ID# 2163",
            "address_2": "PO BOX 659506",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782659506",
            "telephone_number": "210-878-4116",
            "fax_number": "210-878-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18626 HARDY OAK BLVD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584210",
            "telephone_number": "210-878-4116",
            "fax_number": "210-878-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "NAOMI",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "TX",
            "license": "R5038",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "R5038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3819674-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.