Individual provider Active NPI

Katherine Elizabeth Schultheiss, PA

  • Physician Assistant
  • Mesquite, TX
National Provider Identifier
1558038901
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2694 N Galloway Ave Ste 501
Mesquite, TX 75150-6336
Phone
(972) 681-2226
Fax
(972) 681-7838
NPI assigned
Aug 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2694 N Galloway Ave Ste 501
Mesquite, TX 75150-6336

Mailing address

2694 N Galloway Ave Ste 501
Mesquite, TX 75150-6336
Phone (972) 681-2226

Other practice location 1

3150 Horizon Rd
Rockwall, TX 75032-7805
Phone (469) 698-1000

Other practice location 2

231 S Collins Rd
Sunnyvale, TX 75182-4624
Phone (972) 892-3000

Other practice location 3

1005 W Ralph Hall Pkwy Ste 125
Rockwall, TX 75032-6691
Phone (972) 630-4528

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211104000314 TX Practitioner - Physician Assistant 1153719505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

701 Tuscan Dr
Suite 110
Irving, TX 75039-3838
Phone (214) 496-1100

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC CurrentSince Nov 1, 2021 Accepting new patients
Texas Digestive Disease Consultants, PLLC Past Accepting new patients

Locations

701 Tuscan Dr
Ste 110
Irving, TX 75039
Phone (214) 496-1100

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 11

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": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1558038901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2694 N GALLOWAY AVE STE 501",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506336",
            "telephone_number": "972-681-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2694 N GALLOWAY AVE STE 501",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506336",
            "telephone_number": "972-681-2226",
            "fax_number": "972-681-7838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3150 Horizon Rd",
            "address_purpose": "LOCATION",
            "city": "Rockwall",
            "state": "TX",
            "postal_code": "750327805",
            "country_code": "US",
            "telephone_number": "469-698-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "231 S Collins Rd",
            "address_purpose": "LOCATION",
            "city": "Sunnyvale",
            "state": "TX",
            "postal_code": "751824624",
            "country_code": "US",
            "telephone_number": "972-892-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 W Ralph Hall Pkwy Ste 125",
            "address_purpose": "LOCATION",
            "city": "Rockwall",
            "state": "TX",
            "postal_code": "750326691",
            "country_code": "US",
            "telephone_number": "972-630-4528",
            "fax_number": "214-231-2378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULTHEISS",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.