Shonda Banegas, D. O.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

R7657 Issued in TX

Practice address

5012 S US Highway 75 Ste 110
Denison, TX 75020-4596

Phone

(903) 416-6419

Fax

(903) 416-6484

NPI assigned

Nov 14, 2007

Last updated

Jul 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Vascular Surgery

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texomacare Specialty PhysiciansGroup PAC ID 4880858364, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texoma Medical Center Hospital, Denison, TX, CCN 450324

Merit-based Incentive Payment System (MIPS)

Final score

76.84 of 100Reported as group

Quality

57.18

Promoting interoperability

86

Improvement activities

40

Cost

70.78

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FDAGBA
• Direct secure messaging: shonda.banegas@tcsp.eclinicaldirectplus.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.

• Texomacare Specialty Physicians

  • Cardiovascular Disease Physician
  • Denison, TX
  • NPI 1548541733

  Surgery

  Medicare reassignment Care Compare group NPD
• Texomacare

  • Family Medicine Physician
  • Denison, TX
  • NPI 1740233592
  NPD (past)
• Uhs of Texoma, Inc

  dba Texoma Medical Center

  • General Acute Care Hospital
  • Denison, TX
  • NPI 1851390967
  NPD (past)
• Arizona Diagnostic Pathology Associates PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Tucson, AZ
  • NPI 1326222696
  NPD (past)
• Southwest Heart Group LLC

  • Specialist
  • Tucson, AZ
  • NPI 1093810707
  NPD (past)

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

• Uhs of Texoma, Inc

  dba Texoma Medical Center

  • General Acute Care Hospital
  • Denison, TX
  • NPI 1851390967
  Care Compare affiliation

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1306026703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75 STE 110",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204596",
            "telephone_number": "903-416-6419",
            "fax_number": "903-416-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75 STE 110",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204596",
            "telephone_number": "903-416-6419",
            "fax_number": "903-416-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANEGAS",
        "first_name": "SHONDA",
        "credential": "D. O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101016869",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "6136",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "R7657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "348242401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Baird, DO
• Nickolas Baker, D.O
• Bill M Balch, MD
• Kandy Dawn Balentine, COTA
• Angelica Sandoval Balingit, MD
• Michelle Barbosa
• Britany L Barwick, SLP
• Thomas Kim Baugh, O.D.
• Dedrea Elaine Beam
• Charles Morrison Beatty, DDS

• Vascular Surgery Physician in Denison, TX
• Providers in Denison, TX by specialty
• Vascular Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.