Individual provider Active NPI

Kirk Shulke, MD

  • Emergency Medicine Physician
  • Baytown, TX
National Provider Identifier
1609950385
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G8974 Issued in TX
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

Updated by the provider on Nov 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
138985009MedicaidTX

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
I20070905000361 TX Practitioner - Emergency MedicinePractitioner - General Practice 6507959657 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G8974TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Round Table Specialist Group, PLLC Emergency Medicine Current Accepting new patients
Round Table Physicians Group PLLC CurrentSince Jan 1, 2021 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Aug 1, 2023 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.

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

Verify at the official NPI Registry.