Individual provider Active NPI

David Luke Shellenberger, MD

  • Otolaryngology Physician
  • Arlington, TX
National Provider Identifier
1487672556
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
M3089 Issued in TX
Practice address
400 West Arbrook Blvd
Suite 301
Arlington, TX 76014-3174
Phone
(817) 261-3000
Fax
(817) 274-4292
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X M3089 TX Primary

Addresses

Primary practice location

400 West Arbrook Blvd
Suite 301
Arlington, TX 76014-3174

Mailing address

400 West Arbrook Blvd
Suite 301
Arlington, TX 76014-3174
Phone (817) 261-3000

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
I20070126000145 TX Practitioner - Otolaryngology 6204837719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Baylor College of Medicine, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Cross Timbers ENT, PLLCGroup PAC ID 9234291840, 14 clinicians

Practice addresses (Care Compare)

400 W Arbrook Blvd
Suite 301
Arlington, TX 76014-3180
Phone (817) 261-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M3089TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cross Timbers ENT PLLC CurrentSince Jan 1, 2008 Accepting new patients
Cross Timbers ENT PLLC Current Accepting new patients

Locations

1001 N Waldrop Dr
Ste 807
Arlington, TX 76012
Phone (817) 261-3000

400 W Arbrook Blvd
Ste 301
Arlington, TX 76014
Phone (817) 261-3000

801 E Debbie Ln
Mansfield, TX 76063
Phone (817) 261-3000

2021 S 14th St
Ste 100
Midlothian, TX 76065
Phone (817) 261-3000

Organizations & group practices 2

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 2

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1487672556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WEST ARBROOK BLVD",
            "address_2": "SUITE 301",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760143174",
            "telephone_number": "817-261-3000",
            "fax_number": "817-274-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WEST ARBROOK BLVD",
            "address_2": "SUITE 301",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760143174",
            "telephone_number": "817-261-3000",
            "fax_number": "817-274-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLENBERGER",
        "first_name": "DAVID",
        "middle_name": "LUKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "M3089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.