Active NPI
Michael A Shiekh, MD
- Psychiatry Physician
- Dallas, TX
National Provider Identifier
1386863397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- L2643
- Practice address
- 6211 Bishop Blvd
Dallas, TX 75205 - Phone
- (214) 768-1568
- Fax
- (214) 768-2911
- NPI assigned
- Apr 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | L2643 | TX | Primary |
Addresses
Primary practice location
6211 Bishop Blvd
Dallas, TX 75205
Mailing address
3709 Pageant Place
Dallas, TX 75244
Phone (215) 768-1568
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 054JT | Other | TX | BCBS |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texana Center | Current | Accepting new patients | |
| Camino Real Community MHMR Center | Current | Accepting new patients | |
| Legacy Counseling Center Inc | Past | Accepting new patients |
Locations
1749 E State Highway 97
Jourdanton, TX 78026
Phone (830) 767-2320
19965 FM 3175
Lytle, TX 78052
Phone (210) 357-0300
4910 Airport Ave
Ste D
Rosenberg, TX 77471
Phone (281) 239-1300
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.
-
- Case Management Agency
- Lytle, TX
- NPI 1154411262
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Round Rock, TX
- NPI 1730135864
-
- Multi-Specialty Clinic/Center
- Rosenberg, TX
- NPI 1912954058
-
- Clinical Social Worker
- Dallas, TX
- NPI 1770510075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187827200000",
"number": "1386863397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3709 PAGEANT PLACE",
"city": "DALLAS",
"state": "TX",
"postal_code": "75244",
"telephone_number": "215-768-1568",
"fax_number": "214-768-2911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6211 BISHOP BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "75205",
"telephone_number": "214-768-1568",
"fax_number": "214-768-2911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIEKH",
"first_name": "MICHAEL",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-25",
"last_updated": "2007-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "L2643",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "054JT",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.