Vanessa Kiana Shifflette, MD

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

License

P1493 Issued in TX

Practice address

221 W Colorado Blvd
Pav 2, Suite 425
Dallas, TX 75208-2363

Phone

(214) 947-3231

Fax

(214) 947-3239

NPI assigned

Jul 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

General Surgery

Education

University of Texas Medical School at Houston, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Dallas Medical Center Hospital, Dallas, TX, CCN 450051

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vshifflette13903@dm.mhd.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medhealth

  dba Methodist Medical Group

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1912957200
  Medicare reassignment Care Compare group
• Physician Associates of Southwest Dallas

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1801845425
  Medicare reassignment NPD
• Methodist Hospitals of Dallas

  dba Methodist Dallas Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1528027786
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Methodist Hospitals of Dallas

  dba Methodist Dallas Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1528027786
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1194924076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W COLORADO BLVD",
            "address_2": "PAV 2, SUITE 425",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082363",
            "telephone_number": "214-947-3231",
            "fax_number": "214-947-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W COLORADO BLVD",
            "address_2": "PAV 2, SUITE 425",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082363",
            "telephone_number": "214-947-3231",
            "fax_number": "214-947-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFFLETTE",
        "first_name": "VANESSA",
        "middle_name": "KIANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "TX",
            "license": "P1493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Shields, MS, LPC-ASSOCIATE
• Erin Shields
• Michael Kirk Shields
• Sandra Shields, FNP-BC
• Linda Haseltine Shiffer, OTR
• Katlyn Shiflett, OTR/L
• Michael Shih, M.D.
• Shikhar Tomur MD PLLC
• Marissa Shiller, PA-C
• Kaitlyn Margaret Gayle Shilling

• Trauma Surgery Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Trauma Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.

Verify at the official NPI Registry.