NPIMap

Individual provider Active NPI

Molly Dudley Shields, M.D.

  • Obstetrics & Gynecology Physician
  • San Antonio, TX
National Provider Identifier
1396971255
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
P6271 Issued in TX
Practice address
3903 Wiseman Blvd
Suite # 215
San Antonio, TX 78251-4417
Phone
(210) 675-6724
Fax
(210) 675-1759
NPI assigned
Jun 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X P6271 TX Primary

Addresses

Primary practice location

3903 Wiseman Blvd
Suite # 215
San Antonio, TX 78251-4417

Mailing address

1355 Central Pkwy S
Ste 400
San Antonio, TX 78232-5057
Phone (210) 349-9300

Other identifiers 1

IdentifierTypeStateIssuer
3233710-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130909000213 TX Practitioner - Obstetrics/Gynecology 1759524929 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical School at San Antonio, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unified Womens Healthcare of Texas PLLCGroup PAC ID 4385944230, 180 clinicians

Practice addresses (Care Compare)

12709 Toepperwein Rd
Suite 309
Live Oak, TX 78233-3260
Phone (210) 657-4099

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.86 of 100Reported as group
Quality
85.25
Promoting interoperability
100
Improvement activities
40
Cost
74.29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kellum Physician Partners, PA Obstetrics & Gynecology CurrentSince Aug 1, 2013 Accepting new patients
Steven R. Macdonald, M.D., P.a. Current Accepting new patients
Randall Burt MD PA Current Accepting new patients
Unified Women'S Healthcare of Texas PLLC Obstetrics & Gynecology CurrentSince Nov 1, 2022 Accepting new patients
Methodist Healthcare System of San Antonio LTD LLP Past Accepting new patients

Locations

12709 Toepperwein Rd
Ste 309
Live Oak, TX 78233
Phone (210) 657-4099

6124 W Parker Rd
Ste 134
Plano, TX 75093
Phone (972) 981-7777

3903 Wiseman Blvd
Ste 215
San Antonio, TX 78251
Phone (210) 675-6724

3401 Roy Richard Dr
Schertz, TX 78154
Phone (210) 675-6724

Interoperability endpoints

  • Direct secure messaging: molly.shields.1@11541.direct.athenahealth.com

Organizations & group practices 5

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": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1396971255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 CENTRAL PKWY S",
            "address_2": "STE 400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325057",
            "telephone_number": "210-349-9300",
            "fax_number": "210-366-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 WISEMAN BLVD",
            "address_2": "SUITE # 215",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514417",
            "telephone_number": "210-675-6724",
            "fax_number": "210-675-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "MOLLY",
        "middle_name": "DUDLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-05",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "P6271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3233710-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.