Individual provider Active NPI

Shawn W Panzer, MD

  • Gastroenterology Physician
  • Denton, TX
National Provider Identifier
1265420699
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
J0784 Issued in TX
Practice address
2501 Scripture St
Suite 201
Denton, TX 76201-2313
Phone
(940) 566-4720
Fax
(940) 566-4727
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 16751 MS
Gastroenterology Physician 207RG0100X J0784 TX Primary

Addresses

Primary practice location

2501 Scripture St
Suite 201
Denton, TX 76201-2313

Mailing address

2501 Scripture St
Suite 201
Denton, TX 76201-2313
Phone (940) 566-4720

Other identifiers 3

IdentifierTypeStateIssuer
8BX640OtherTXBCBS
129377106MedicaidTX
00122103MedicaidMS

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
I20090326000466 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 3476580747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Eastern Virginia Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2501 Scripture St
Suite 201
Denton, TX 76201-2314
Phone (940) 566-4720

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Denton Hospital, Denton, TX, CCN 450743

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy135
Upper gastrointestinal (GI) endoscopy for acid reflux104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J0784TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Gastrointestinal Associates PA Gastroenterology CurrentSince Apr 30, 2003 Accepting new patients
Vicksburg Clinic LLC Past Accepting new patients
Vicksburg Clinic LLC Past Accepting new patients
Pinnacle Pain Medicine PLLC PastSince Feb 17, 2009 Accepting new patients

Locations

2501 Scripture St
Ste 201
Denton, TX 76201
Phone (940) 566-4720

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20490/brand/1/csg/1/fhir/r4
  • Direct secure messaging: northtexasgastrointestinalassociatespa.shawpanzer@117957.advancedmd-direct.com

Organizations & group practices 4

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1265420699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 SCRIPTURE ST",
            "address_2": "SUITE 201",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012313",
            "telephone_number": "940-566-4720",
            "fax_number": "940-566-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 SCRIPTURE ST",
            "address_2": "SUITE 201",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012313",
            "telephone_number": "940-566-4720",
            "fax_number": "940-566-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANZER",
        "first_name": "SHAWN",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MS",
            "license": "16751",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "J0784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8BX640",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129377106",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00122103",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.