Individual provider Active NPI

Shalaun J Hawkins, MD

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1295729911
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M0428 Issued in TX
Practice address
12720 Hillcrest Rd Ste 625
Dallas, TX 75230-2163
Phone
(469) 830-9600
Fax
(469) 830-9601
NPI assigned
Sep 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M0428 TX Primary

Addresses

Primary practice location

12720 Hillcrest Rd Ste 625
Dallas, TX 75230-2163

Mailing address

12720 Hillcrest Rd Ste 625
Dallas, TX 75230-2163
Phone (469) 830-9600

Other identifiers 1

IdentifierTypeStateIssuer
172254801MedicaidTX

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
I20050404000629 TX Practitioner - Internal Medicine 3072504885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Meharry Medical College School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hillcrest Internal Medicine PLLCGroup PAC ID 4981094414, 2 clinicians

Practice addresses (Care Compare)

12720 Hillcrest Rd
Suite 625
Dallas, TX 75230-2163
Phone (469) 830-9600

Hospital & facility affiliations

  • Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hillcrest Internal Medicine PLLC Internal Medicine CurrentSince Nov 22, 2021 Accepting new patients

Locations

12720 Hillcrest Rd
Ste 625
Dallas, TX 75230
Phone (469) 830-9600

Interoperability endpoints

  • Direct secure messaging: 6440-hawkins-shalaun@direct.leadingreach.com
  • Direct secure messaging: shalaun.hawkins@txhcmp.eclinicaldirectplus.com

Organizations & group practices 1

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 2

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1295729911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12720 HILLCREST RD STE 625",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302163",
            "telephone_number": "469-830-9600",
            "fax_number": "469-830-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12720 HILLCREST RD STE 625",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302163",
            "telephone_number": "469-830-9600",
            "fax_number": "469-830-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "SHALAUN",
        "middle_name": "J",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M0428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172254801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.