Individual provider Active NPI

Judy Tan Shumway, DO

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1598873127
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M4540 Issued in TX
Practice address
7330 San Pedro
Ste. 405
San Antonio, TX 78216-6235
Phone
(210) 344-2673
Fax
(210) 344-2649
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 M4540 TX Primary
Hospitalist Physician 208M00000X M4540 TX

Addresses

Primary practice location

7330 San Pedro
Ste. 405
San Antonio, TX 78216-6235

Mailing address

7330 San Pedro
Ste. 405
San Antonio, TX 78216-6235
Phone (210) 344-2673

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
I20070124000599 TX Practitioner - Internal Medicine 3072514637 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ipc Healthcare Services of Texas PLLCGroup PAC ID 3971824939, 184 clinicians

Practice addresses (Care Compare)

12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M4540TXMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medicine Associates Internal Medicine CurrentSince Nov 1, 2021 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Jun 1, 2016 Accepting new patients
Inpatient Consultants of Texas, PLLC Internal Medicine Past Accepting new patients
Accomplished Diagnostic Medical Inpatient Team, P.a. Internal Medicine Past Accepting new patients

Locations

999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

8811 Village Dr
San Antonio, TX 78217
Phone (210) 297-2000

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

7330 San Pedro Ave
Ste 540
San Antonio, TX 78216
Phone (210) 344-2673

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1598873127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 SAN PEDRO",
            "address_2": "STE. 405",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166235",
            "telephone_number": "210-344-2673",
            "fax_number": "210-344-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 SAN PEDRO",
            "address_2": "STE. 405",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166235",
            "telephone_number": "210-344-2673",
            "fax_number": "210-344-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMWAY",
        "first_name": "JUDY",
        "middle_name": "TAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M4540",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "M4540",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.