Individual provider Active NPI

Jeffry John Shellenberger, M.D.

  • Emergency Medicine Physician
  • Laredo, TX
National Provider Identifier
1356547640
Registry record updated Aug 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
P3583 Issued in TX
Practice address
7510 McPherson Rd
Laredo, TX 78041-6561
Phone
(956) 242-6790
NPI assigned
Jun 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X P3583 TX Primary
Obesity Medicine (Preventive Medicine) Physician 2083B0002X P3583 TX

Addresses

Primary practice location

7510 McPherson Rd
Laredo, TX 78041-6561

Mailing address

6 Lakeview PL
Houston, TX 77070-1300
Phone (281) 827-4262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120813000628 TX Practitioner - Emergency Medicine 3779615760 Reassigns benefits to 3 organizations
I20190718001391 CA Practitioner - Emergency Medicine 3779615760 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Medical School at San Antonio, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geniemd Medical Group Mo PCGroup PAC ID 5193190072, 24 clinicians

Practice addresses (Care Compare)

1111 Broadway
Suite 300
Oakland, CA 94607-4167
Phone (925) 460-9191

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P3583TXMDObesity Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Webb Emergency Medicine Associates PA Emergency Medicine CurrentSince Jun 7, 2021 Accepting new patients
McAdams Emergency Medicine Associates, PA Emergency Medicine CurrentSince Nov 21, 2021 Accepting new patients
Guadalupe Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jul 12, 2021 Accepting new patients
Geniemd Medical Group, Mo, P.C. CurrentSince May 2, 2024 Accepting new patients
Reliable Surgical Assistance, LLC PastSince Aug 25, 2025 Accepting new patients

Locations

1111 Broadway
Ste 300
Oakland, CA 94607
Phone (281) 948-8014

6612 Owens Dr
Pleasanton, CA 94588
Phone (928) 460-9191

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

1300 E Saunders St
Laredo, TX 78041
Phone (956) 815-4470

10700 McPherson Rd
Laredo, TX 78045
Phone (956) 523-2190

2901 Jaime Zapata Memorial Hwy
Laredo, TX 78043
Phone (956) 718-9000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755907200000",
    "number": "1356547640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LAKEVIEW PL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701300",
            "telephone_number": "281-827-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7510 MCPHERSON RD",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416561",
            "telephone_number": "956-242-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLENBERGER",
        "first_name": "JEFFRY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-22",
        "last_updated": "2025-08-23",
        "certification_date": "2025-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P3583",
            "primary": true
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "TX",
            "license": "P3583",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.