Individual provider Active NPI

Shane Burr Patterson, M.D.

  • Infectious Disease Physician
  • Jbsa-Fort Sam Houston, TX
National Provider Identifier
1598028433
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
0101255210 Issued in VA
Practice address
3551 Roger Brooke Drive
Infectious Disease
Jbsa-Fort Sam Houston, TX 78234-6200
Phone
(210) 916-5554
Fax
(210) 916-5900
NPI assigned
Jun 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101255210 VA
General Practice Physician 208D00000X 0101255210 VA
Student in an Organized Health Care Education/Training Program 390200000X 0101255210 VA
Infectious Disease Physician 207RI0200X 0101255210 VA Primary

Addresses

Primary practice location

3551 Roger Brooke Drive
Infectious Disease
Jbsa-Fort Sam Houston, TX 78234-6200

Mailing address

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (210) 916-5554

Other practice location 1

60 MDG/Sgomb
101 Bodin Circle
Travis AFB, CA 94535
Phone (707) 423-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20260211003961 AZ Practitioner - Infectious Disease 4486884053 Reassigns benefits to 1 organization
I20260429000091 TX Practitioner - Infectious Disease 4486884053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Uniformed Services Uhs Fe Hebert School of Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Einfectionmd LLCGroup PAC ID 6406191543, 18 clinicians

Practice addresses (Care Compare)

2375 E Camelback Rd
Suite 600
Phoenix, AZ 85016-3493
Phone (602) 387-4035

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101255210VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Einfectionmd PC Infectious Disease CurrentSince Feb 1, 2026 Accepting new patients

Locations

2375 E Camelback Rd
Ste 600
Phoenix, AZ 85016
Phone (602) 341-5248

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 1

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": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1598028433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DRIVE",
            "address_2": "INFECTIOUS DISEASE",
            "city": "JBSA-FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782346200",
            "telephone_number": "210-916-5554",
            "fax_number": "210-916-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 MDG/SGOMB",
            "address_2": "101 Bodin Circle",
            "address_purpose": "LOCATION",
            "city": "Travis AFB",
            "state": "CA",
            "postal_code": "94535",
            "country_code": "US",
            "telephone_number": "707-423-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "SHANE",
        "middle_name": "BURR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-15",
        "last_updated": "2025-07-08",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101255210",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101255210",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0101255210",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "VA",
            "license": "0101255210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jbsa-Fort Sam Houston, TX

Sources for this page

Verify at the official NPI Registry.