Individual provider Active NPI

Cynthia L Shughrue, DO

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1619941366
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H4700 Issued in TX
Practice address
8440 Walnut Hill LN Ste 300
Dallas, TX 75231-3816
Phone
(214) 363-5660
Fax
(214) 737-3703
NPI assigned
Feb 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H4700 TX Primary

Addresses

Primary practice location

8440 Walnut Hill LN Ste 300
Dallas, TX 75231-3816

Mailing address

8440 Walnut Hill LN Ste 300
Dallas, TX 75231-3816
Phone (214) 363-5660

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
I20120525000548 TX Practitioner - Family Practice 9234392416 Reassigns benefits to 1 organization
Practice locations: Dallas, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

8440 Walnut Hill LN
Suite 300
Dallas, TX 75231-3816
Phone (214) 363-5660

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H4700TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Jun 1, 2020 Accepting new patients
Texas Health Physicians Group Family Medicine CurrentSince Jun 1, 2020 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

8220 Walnut Hill Ln
Ste 516
Dallas, TX 75231
Phone (214) 771-3668

8440 Walnut Hill Ln
Ste 300
Dallas, TX 75231
Phone (214) 363-5660

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • Direct secure messaging: cshughrue25322@direct.texashealth.org

Organizations & group practices 3

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 2

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": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1619941366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8440 WALNUT HILL LN STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313816",
            "telephone_number": "214-363-5660",
            "fax_number": "214-373-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 WALNUT HILL LN STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313816",
            "telephone_number": "214-363-5660",
            "fax_number": "214-737-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUGHRUE",
        "first_name": "CYNTHIA",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-16",
        "last_updated": "2023-10-20",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H4700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.