Individual provider Active NPI

Allan Neil Shulkin, M.D.

  • Specialist
  • Dallas, TX
National Provider Identifier
1174566160
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E4676 Issued in TX
Practice address
7777 Forest LN
B202
Dallas, TX 75230-2505
Phone
(972) 566-8900
Fax
(972) 566-7993
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X E4676 TX Primary

Addresses

Primary practice location

7777 Forest LN
B202
Dallas, TX 75230-2505

Mailing address

7777 Forest LN
B202
Dallas, TX 75230-2505
Phone (972) 566-8900

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
I20091119000450 TX Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 2769520352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
University of Texas Southwestern Medical School at Dallas, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7777 Forest LN
Suite B202
Dallas, TX 75230-2509
Phone (972) 566-8900

Hospital & facility affiliations

  • Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647
  • Paris Regional Medical Center Hospital, Paris, TX, CCN 450196
  • Medical City Plano Hospital, Plano, TX, CCN 450651
  • Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462
  • Texoma Medical Center Hospital, Denison, TX, CCN 450324

Merit-based Incentive Payment System (MIPS)

Final score
21.96 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allan N Shulkin MD PA CurrentSince Nov 25, 2009 Accepting new patients
Victor M Gomez MD PA Specialist PastSince Nov 25, 2009 Accepting new patients
Columbia Hospital at Medical City Dallas Subsidiary LP Past Accepting new patients

Locations

7777 Forest Ln
Ste B202
Dallas, TX 75230
Phone (972) 566-8900

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

Organizations & group practices 3

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 6

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174566160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "B202",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-8900",
            "fax_number": "972-566-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "B202",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-8900",
            "fax_number": "972-566-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULKIN",
        "first_name": "ALLAN",
        "middle_name": "NEIL",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "E4676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.