Individual provider Active NPI

Mark Robertshaw

  • Pulmonary Disease Physician
  • Plano, TX
National Provider Identifier
1396277265
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
S6924 Issued in TX
Practice address
6124 W Parker Rd
Professional Office Building 3, Suite 530
Plano, TX 75093-8122
Phone
(214) 778-1075
NPI assigned
Mar 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X S6924 TX
Pulmonary Disease Physician 207RP1001X S6924 TX Primary

Addresses

Primary practice location

6124 W Parker Rd
Professional Office Building 3, Suite 530
Plano, TX 75093-8122

Mailing address

6124 W Parker Rd
Pob 3, Suite 530
Plano, TX 75093-8122

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
I20230301000146 TX Practitioner - Internal Medicine 4688047335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Missouri, Columbia School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cogent Healthcare of Texas PAGroup PAC ID 8628076924, 113 clinicians

Practice addresses (Care Compare)

6200 W Parker Rd
Texas Health Presbyterian Hospital
Plano, TX 75093-8185
Phone (972) 981-8010

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients

Locations

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

1001 Raintree Cir
Allen, TX 75013
Phone (972) 898-9557

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

5601 Warren Pkwy
Frisco, TX 75034
Phone (214) 407-5000

12400 Dallas Pkwy
Frisco, TX 75033
Phone (469) 495-2000

6124 W Parker Rd
Ste 530
Plano, TX 75093
Phone (214) 778-1075

6800 Preston Rd
Plano, TX 75024
Phone (214) 473-3634

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: mark.robertshaw.p1@direct.swpulmonary.nextgenshare.com
  • Direct secure messaging: mrobertshaw110604@direct.phhs.org

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1396277265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD",
            "address_2": "POB 3, SUITE 530",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD",
            "address_2": "PROFESSIONAL OFFICE BUILDING 3, SUITE 530",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938122",
            "telephone_number": "214-778-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSHAW",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-30",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "S6924",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "S6924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.