Kurte Wally Shepherd, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1563 Issued in TX

Practice address

4501 Cartwright Rd
Suite 208
Missouri City, TX 77459-3534

Phone

(832) 539-1620

Fax

(832) 539-1621

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Elite Footcare of Texas Inc.

  • Podiatrist
  • Missouri City, TX
  • NPI 1376720565
  NPD (past) Authorized official
• Karen Elizabeth Chagnon Dba Senior Care Associates of Texas

  • Podiatrist
  • Arlington, TX
  • NPI 1871700013
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1376501692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10223 BROADWAY ST STE P246",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847880",
            "telephone_number": "832-539-1620",
            "fax_number": "832-539-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 CARTWRIGHT RD",
            "address_2": "SUITE 208",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774593534",
            "telephone_number": "832-539-1620",
            "fax_number": "832-539-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "KURTE",
        "middle_name": "WALLY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "5143640001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0035HW",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1529075002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ted Sheng, DDS
• Khalilah N Shephard, DDS
• Shepherd Behavioral Health LLC
• Shepherd Personal Care Home, Inc
• Shepherd Recovery Centers, LLC
• Jessica Sherman, MS, CFY/SLP
• Lisa Sherman, LMT
• Shubha Premnath Shetty, MD
• Shining Stars Hospice Inc
• Olubukola Shobowale

• Podiatrist in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.