Individual provider Active NPI

Dean Edward Schanen, MD

  • Emergency Medicine Physician
  • Austin, TX
National Provider Identifier
1629020136
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
K2787 Issued in TX
Practice address
5245 W Highway 290
Austin, TX 78735-8963
Phone
(512) 654-2100
Fax
(512) 654-2101
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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 K2787 TX Primary

Addresses

Primary practice location

5245 W Highway 290
Austin, TX 78735-8963

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-2111

Other identifiers 6

IdentifierTypeStateIssuer
045062909MedicaidTX
045062907MedicaidTX
045062910MedicaidTX
045062903MedicaidTX
P00118955OtherTXRAILROAD MEDICARE
045062905MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dschanen781071@direct.sw.org Direct

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
I20040708000762 TX Practitioner - Emergency Medicine 3779561600 Reassigns benefits to 8 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brewster Emergency Medicine Associates PA Emergency Medicine CurrentSince Jul 14, 2018 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Oct 1, 2021 Accepting new patients
Scott & White Hospital - Taylor CurrentSince Mar 18, 2023 Accepting new patients
Scott & White Hospital - Taylor Current Accepting new patients
Scott & White Clinic Emergency Medicine CurrentSince Dec 1, 2020 Accepting new patients
Victoria Emergency Partners LLC Emergency Medicine CurrentSince May 22, 2018 Accepting new patients
Port Arthur Emergency Physicians Emergency Medicine CurrentSince Aug 26, 2016 Accepting new patients
Sound Physicians Emergency Medicine of Texas PLLC Emergency Medicine CurrentSince Dec 1, 2019 Accepting new patients
Scott & White Clinic Emergency Medicine CurrentSince Dec 1, 2020 Accepting new patients

Locations

2600 N State Highway 118
Alpine, TX 79830
Phone (432) 837-0430

5245 W Highway 290
Austin, TX 78735
Phone (512) 509-0100

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185

1701 E Pflugerville Pkwy
Pflugerville, TX 78660
Phone (512) 259-6000

2600 E Pflugerville Pkwy
Ste 100
Pflugerville, TX 78660
Phone (512) 654-6100

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

3600 Gates Blvd
Port Arthur, TX 77642
Phone (409) 985-7431

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

300 University Blvd
Round Rock, TX 78665
Phone (512) 509-0100

305 Mallard Ln
Taylor, TX 76574
Phone (512) 352-7611

2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

Interoperability endpoints

  • Direct secure messaging: dschanen781071@direct.sw.org

Organizations & group practices 9

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1629020136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "254-724-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5245 W HIGHWAY 290",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358963",
            "telephone_number": "512-654-2100",
            "fax_number": "512-654-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHANEN",
        "first_name": "DEAN",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "K2787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045062909",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045062907",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045062910",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045062903",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00118955",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045062905",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dschanen781071@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5245 W Highway 290",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787358963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.