Shane Edward Zatkalik, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

L5630 Issued in TX

Practice address

6200 W Parker Rd
Plano, TX 75093-8185

Phone

(972) 981-8008

NPI assigned

Aug 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Emergency Medicine

Education

University of Texas Southwestern Medical School at Dallas, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Medicine Resources, LLPGroup PAC ID 5890688212, 255 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas Health Presbyterian Hospital Plano Hospital, Plano, TX, CCN 450771
• Texas Health Presbyterian Hospital Allen Hospital, Allen, TX, CCN 450840

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Texas Medicine Resources, LLP

  • Emergency Medicine Physician
  • Fort Worth, TX
  • NPI 1376581900
  Medicare reassignment Care Compare group NPD
• Pediatric Emergency Medicine Group LLP

  • Emergency Medicine Physician
  • Plano, TX
  • NPI 1629448535
  Medicare reassignment NPD
• Collin Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Brownsville, TX
  • NPI 1568515328
  NPD (past)
• Grapevine Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Grapevine, TX
  • NPI 1770650483
  NPD (past)
• Hebron Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Carrollton, TX
  • NPI 1326098518
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Texas Health Presbyterian Hospital Allen

  • General Acute Care Hospital
  • Allen, TX
  • NPI 1548291883
  Care Compare affiliation
• Texas Health Presbyterian Hospital Plano

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1770514077
  Care Compare affiliation

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273795200000",
    "number": "1619082872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8160 WALNUT HILL LANE, SUITE 8160",
            "address_2": "PRESBYTERIAN HOSPITAL OF DALLAS, PEROT BLDG",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75231",
            "telephone_number": "214-345-4733",
            "fax_number": "214-345-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 W PARKER RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938185",
            "telephone_number": "972-981-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZATKALIK",
        "first_name": "SHANE",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2010-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L5630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0058QR",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164760407",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Romina Zandieh, SLP
• Kirk Harrison Zanetti
• Saretta Zanjanchian, O.D.
• Ahmad Zankar, MD
• Heidi Nanette Zapka, PT ASSISTANT
• Velouette Zavadil, MD
• Maria Angelica Zavala, MT-BC
• Nancy Zavala
• Catheryne McCalla Zavodny, M.D.
• Christina Rachel Zazay, APRN, PMHNP-BC

• Emergency Medicine Physician in Plano, TX
• Providers in Plano, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.