Individual provider Active NPI

Michael A Shiekh, MD

  • Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1386863397
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
L2643 Issued in TX
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

Updated by the provider on Aug 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
054JTOtherTXBCBS

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
I20040615000223 TX Practitioner - Psychiatry 8729062146 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texana Center CurrentSince Jul 19, 2014 Accepting new patients
Camino Real Community MHMR Center CurrentSince Oct 1, 2014 Accepting new patients
Legacy Counseling Center Inc PastSince Nov 14, 2016 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.

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

Verify at the official NPI Registry.