Active NPI
Kirk Shulke, MD
- Emergency Medicine Physician
- Baytown, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G8974
- Practice address
- 4401 Garth Rd
Baytown, TX 77521 - Phone
- (281) 420-8600
- Fax
- (281) 837-8282
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G8974 | TX | Primary |
Addresses
Primary practice location
4401 Garth Rd
Baytown, TX 77521
Mailing address
PO Box 62022
Houston, TX 77205
Phone (616) 734-0335
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138985009 | Medicaid | TX |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G8974 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Round Table Specialist Group, PLLC | Emergency Medicine | Current | Accepting new patients |
| Round Table Physicians Group PLLC | Current | Accepting new patients | |
| Emergency Medicine Services of TX, PLLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians Professional Association | Emergency Medicine | Past | Accepting new patients |
| Cascade Medical Testing Lab, Inc. | Past | Accepting new patients |
Locations
5701 W Slaughter Ln
Bldg G
Austin, TX 78749
Phone (512) 651-5787
21214 Northwest Fwy
Cypress, TX 77429
Phone (832) 912-3500
225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400
11103 Westheimer Rd
Houston, TX 77042
Phone (832) 708-3651
1014 Wirt Rd
Ste 200
Houston, TX 77055
Phone (713) 527-5000
800 W Central Texas Expy
Killeen, TX 76541
Phone (254) 220-4117
22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322
11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700
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.
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-
- Emergency Medical Services (Emergency Medicine) Physician
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- NPI 1023439114
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1497152268
-
- Emergency Medicine Physician
- Baytown, TX
- NPI 1487726873
-
- Clinical Medical Laboratory
- Grand Rapids, MI
- NPI 1760557375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194220800000",
"number": "1609950385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 62022",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77205",
"telephone_number": "616-734-0335",
"fax_number": "616-949-8540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 GARTH RD",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "77521",
"telephone_number": "281-420-8600",
"fax_number": "281-837-8282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULKE",
"first_name": "KIRK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2007-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "G8974",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138985009",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baytown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.