NPIMap

Individual provider Active NPI

Evan Louis Shrago, M.D.

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1649212838
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
K6928 Issued in TX
Practice address
17480 Dallas Pkwy
Suite 125
Dallas, TX 75287-7337
Phone
(972) 488-8926
Fax
(972) 881-4390
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X K6928 TX Primary

Addresses

Primary practice location

17480 Dallas Pkwy
Suite 125
Dallas, TX 75287-7337

Mailing address

PO Box 794948
Dallas, TX 75379-4948
Phone (972) 488-8926

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100511000453 TX Practitioner - Anesthesiology 8820052368 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Rush Medical College of Rush University, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Pilot Anesthesia PLLCGroup PAC ID 0648511444, 16 clinicians
TX-an Anesthesia PLLCGroup PAC ID 8527367937, 8 clinicians

Practice addresses (Care Compare)

17440 Dallas Pkwy
Suite 228
Dallas, TX 75287-7397
Phone (972) 588-4541

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K6928TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Texas Anesthesia Consultants PLLC Anesthesiology CurrentSince Jul 1, 2022 Accepting new patients
Pilot Anesthesia PLLC Anesthesiology CurrentSince Jul 1, 2019 Accepting new patients
Endo Sedation LLC Anesthesiology CurrentSince Apr 1, 2022 Accepting new patients
TX-an Anesthesia PLLC Anesthesiology CurrentSince Jun 1, 2016 Accepting new patients
Endo Sedation LLC Anesthesiology CurrentSince Apr 1, 2022 Accepting new patients
Endo Sedation LLC Anesthesiology Current Accepting new patients
Matt T. Gubert, PA Anesthesiology PastSince Mar 3, 2024 Accepting new patients

Locations

7808 Clodus Fields Dr
Dallas, TX 75251
Phone (972) 566-7260

17480 Dallas Pkwy
Ste 125
Dallas, TX 75287
Phone (469) 685-1700

17440 Dallas Pkwy
Ste 228
Dallas, TX 75287
Phone (972) 588-4541

1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671

8080 Independence Pkwy
Ste 110
Plano, TX 75025
Phone (469) 658-0100

400 Chisholm Pl
Ste 114
Plano, TX 75075
Phone (972) 588-4541

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

6405 W Parker Rd
Ste 370
Plano, TX 75093
Phone (972) 473-9292

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

8080 Independence Pkwy
Ste 160
Plano, TX 75025
Phone (972) 781-1482

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1649212838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 794948",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753794948",
            "telephone_number": "972-488-8926",
            "fax_number": "972-881-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17480 DALLAS PKWY",
            "address_2": "SUITE 125",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877337",
            "telephone_number": "972-488-8926",
            "fax_number": "972-881-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRAGO",
        "first_name": "EVAN",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "K6928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.