NPIMap

Individual provider Active NPI

Shannon Marek, M.D.

  • Gastroenterology Physician
  • San Marcos, TX
National Provider Identifier
1528282050
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
059554 Issued in GA
Practice address
1305 Wonder World Dr
Suite 200
San Marcos, TX 78666-7546
Phone
(512) 754-8676
Fax
(512) 754-8680
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 27100 AL
Gastroenterology Physician 207RG0100X 059554 GA Primary

Addresses

Primary practice location

1305 Wonder World Dr
Suite 200
San Marcos, TX 78666-7546

Mailing address

831 Uluru Ave
New Braunfels, TX 78132-3890
Phone (512) 754-8676

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
I20101208000987 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 7911087978 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Texas Medical School at Houston, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1305 Wonder World Dr
Suite 200
San Marcos, TX 78666-7502
Phone (512) 754-8476

5425 W Spring Creek Pkwy
Suite 205
Plano, TX 75024-4236
Phone (972) 526-5860

P O Box
Suite 35629
Dallas, TX 75235-0629

PO Box
Suite 35629
Dallas, TX 75235-0629

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
66.51
Promoting interoperability
98
Improvement activities
40
Cost
71.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy160
Upper gastrointestinal (GI) endoscopy for acid reflux266

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27100ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC Gastroenterology CurrentSince Jan 1, 2016 Accepting new patients
Texas Digestive Disease Consultants PLLC Gastroenterology CurrentSince Jan 1, 2016 Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology Current Accepting new patients
Washington Wilkes Emergency Physicians LLC Past Accepting new patients
Burke Emergency Physicians Past Accepting new patients

Locations

601 S Main St
Keller, TX 76248
Phone (817) 741-4347

2028 Sundance Pkwy
New Braunfels, TX 78130
Phone (830) 609-1933

5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860

1305 Wonder World Dr
Ste 200
San Marcos, TX 78666
Phone (512) 754-8476

Organizations & group practices 6

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1528282050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 ULURU AVE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781323890",
            "telephone_number": "512-754-8676",
            "fax_number": "512-754-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 WONDER WORLD DR",
            "address_2": "SUITE 200",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667546",
            "telephone_number": "512-754-8676",
            "fax_number": "512-754-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAREK",
        "first_name": "SHANNON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "27100",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "059554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

Verify at the official NPI Registry.