Organization Active NPI

Sheila Shung MD PLLC Internal Medicine

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1407101132
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L1747 Issued in TX
Legal business name
SHEILA SHUNG MD PLLC INTERNAL MEDICINE
Practice address
12319 N Mopac Expy
Suite 240
Austin, TX 78758-2403
Phone
(512) 833-0140
Fax
(512) 833-0142
NPI assigned
Jul 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Authorized official

Name
Sheila Shung, M.D.NPI 1407839848
Title
Sole Practitioner
Phone
(512) 833-0140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X L1747 TX Primary

Addresses

Primary practice location

12319 N Mopac Expy
Suite 240
Austin, TX 78758-2403

Mailing address

12319 N Mopac Expy
Suite 240
Austin, TX 78758-2403
Phone (512) 833-0140

Other identifiers 1

IdentifierTypeStateIssuer
1505323-01MedicaidTX

Other names 1

  • SHEILA SHUNG MD INTERNAL MEDICINE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120820000289 TX Part B Supplier - Clinic/Group Practice 7618123084 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

12319 N Mopac Expy
#C240
Austin, TX 78758

12319 N Mopac Expy
Ste 240
Austin, TX 78758
Phone (512) 833-0140

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19373/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1407101132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12319 N MOPAC EXPY",
            "address_2": "SUITE 240",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582403",
            "telephone_number": "512-833-0140",
            "fax_number": "512-833-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12319 N MOPAC EXPY",
            "address_2": "SUITE 240",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582403",
            "telephone_number": "512-833-0140",
            "fax_number": "512-833-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEILA SHUNG MD PLLC INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "SHUNG",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "SOLE PRACTITIONER",
        "authorized_official_telephone_number": "512-833-0140",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L1747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1505323-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHEILA SHUNG MD INTERNAL MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.