Individual provider Active NPI

Mark Wayne Shen, MD

  • Pediatrics Physician
  • West Lake Hills, TX
National Provider Identifier
1508826405
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L0933 Issued in TX
Practice address
5656 Bee Caves Rd # K203
West Lake Hills, TX 78746-5280
Phone
(512) 779-7276
NPI assigned
Mar 24, 2006
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L0933 TX Primary

Addresses

Primary practice location

5656 Bee Caves Rd # K203
West Lake Hills, TX 78746-5280

Mailing address

5656 Bee Caves Rd # K203
West Lake Hills, TX 78746-5280
Phone (512) 779-7276

Other identifiers 1

IdentifierTypeStateIssuer
152121301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, NY, GA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20071023000703 TX Practitioner - Pediatric Medicine 0446346399 Reassigns benefits to 4 organizations
I20210327000182 CA Practitioner - Pediatric Medicine 0446346399 Reassigns benefits to 2 organizations
I20210510002269 NY Practitioner - Pediatric Medicine 0446346399 Reassigns benefits to 1 organization
I20210525002909 GA Practitioner - Pediatric Medicine 0446346399

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Texas Southwestern Medical School at Dallas, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grayce Medical LLCGroup PAC ID 3779098819, 3 clinicians

Practice addresses (Care Compare)

6431 Williams Ridge Way
Austin, TX 78731-2709
Phone (628) 237-0813

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Deleys Brandman MD PA CurrentSince Mar 1, 2021 Accepting new patients
Grayce Medical NJ, LLC CurrentSince Apr 21, 2025 Accepting new patients
Grayce Medical, LLC CurrentSince Apr 21, 2025 Accepting new patients
Radiant Graph, PLLC CurrentSince Jun 25, 2026 Accepting new patients
Grayce Medical KS, LLC CurrentSince Apr 21, 2025 Accepting new patients
Grayce Medical, Ca PC CurrentSince Apr 21, 2025 Accepting new patients
Marcus Zachary, D.O., P.C. CurrentSince Mar 1, 2021 Accepting new patients
Milu Health de LLC CurrentSince Mar 19, 2026 Accepting new patients
WH NJ Medical LLC Pediatrics PastSince May 30, 2023 Accepting new patients
WH KS Medical LLC Pediatrics PastSince May 30, 2023 Accepting new patients
Babylon Healthcare, PLLC Past Accepting new patients
MC Medical LLC Pediatrics PastSince Feb 8, 2024 Accepting new patients
Cloud Health Medical Group of California, P.C. Past Accepting new patients
Stem Medical Group, PC PastSince Jan 6, 2026 Accepting new patients
WH Il Medical PLLC Pediatrics PastSince May 30, 2023 Accepting new patients
Care for Hearts Medical, LLC Past Accepting new patients
Prava PC PastSince Jan 6, 2025 Accepting new patients
WH Ar Medical PLLC PastSince May 30, 2023 Accepting new patients

Locations

7111 N Fresno St
Ste 200
Fresno, CA 93720
Phone (415) 353-6817

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19956/brand/1/csg/1/fhir/r4

Organizations & group practices 36

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1508826405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVES RD # K203",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465280",
            "telephone_number": "512-779-7276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVES RD # K203",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465280",
            "telephone_number": "512-779-7276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "MARK",
        "middle_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L0933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152121301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

Verify at the official NPI Registry.