Individual provider Active NPI

Edie Elizabeth Shulman, MD

  • Internal Medicine Physician
  • West Lake Hills, TX
National Provider Identifier
1659304673
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J1568 Issued in TX
Practice address
1001 Westbank Dr
West Lake Hills, TX 78746-6669
Phone
(512) 654-4150
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X J1568 TX
Internal Medicine Physician 207R00000X J1568 TX Primary

Addresses

Primary practice location

1001 Westbank Dr
West Lake Hills, TX 78746-6669

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-8800

Other identifiers 3

IdentifierTypeStateIssuer
129250004MedicaidTX
8F7802OtherTXMEDICARE
81413JOtherTXBCBS

Other names 1

  • Edie E Shulman Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eshulman302888@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
I20080730000107 TX Practitioner - Internal Medicine 7618041351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at Houston, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians

Practice addresses (Care Compare)

1001 Westbank Dr
Baylor Scott and White Clinic Westlake
Baylor Scott & White Clin, TX 78746-6669
Phone (512) 654-4150

10815 Ranch Rd
2222 Suite 100
Austin, TX 78730-1159
Phone (512) 327-4262

11209 S Interstate Hwy 35
Baylor Scott and White Clinic Onion
Austin, TX 78747-1712
Phone (512) 654-4700

11673 Jollyville Rd
Suite 205
Austin, TX 78759-4211
Phone (512) 568-3565

11805 FM 2244 Rd
Suite 100
Bee Cave, TX 78738-5337
Phone (512) 402-9013

1701 E Pflugerville Pkwy
Baylor Scott and White Clinic Pflug
Pflugerville, TX 78660-8990
Phone (512) 259-6000

200 E Cesar Chavez St
G140 Baylor Scott and White Clinic Austi
Austin, TX 78701-4289
Phone (512) 654-4100

2600 E Pflugerville Pkwy
BLDG 2
Pflugerville, TX 78660-5998
Phone (512) 654-6500

2608 Brockton Dr
Austin, TX 78758-4414
Phone (512) 654-4050

3108 Ranch Rd 620
Lakeway, TX 78738-5635
Phone (512) 654-4200

500 Canyon Ridge Dr
Suite 208
Austin, TX 78753-1632
Phone (512) 654-7800

5000 W Slaughter LN 100 BLDG
6 Baylor Scott and White Clinic Austi
Austin, TX 78749-4015
Phone (512) 291-8002

5245 W Hwy 290
Baylor Scott and White Medical Center Austi
Austin, TX 78735-8963
Phone (512) 654-2100

5251 W Hwy 290
Baylor Scott and White Clinic Austin Oak Hi
Austin, TX 78735-8963
Phone (512) 654-3000

5251 W Hwy 290 100
Baylor Scott and White Cancer and Infusion Ce
Austin, TX 78735-8963
Phone (512) 654-4319

Hospital & facility affiliations

  • Capitol Home Health Home health agency, Austin, TX, CCN 747581
  • Baylor Scott & White Medical Center - Round Rock Hospital, Round Rock, TX, CCN 670034
  • Baylor Scott & White Medical Center- Austin Hospital, Austin, TX, CCN 670136
  • Baylor Scott & White Medical Center - Temple Hospital, Temple, TX, CCN 450054
  • Baylor Scott & White Medical Center Pflugerville Hospital, Pflugerville, TX, CCN 670128
  • Baylor Scott & White Medical Center - Marble Falls Hospital, Marble Falls, TX, CCN 670108
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Lakeway, TX, CCN 673058

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic Internal Medicine CurrentSince Nov 2, 2017 Accepting new patients
Scott & White Clinic Internal Medicine Current Accepting new patients
Scott & White Clinic Internal Medicine CurrentSince Nov 2, 2017 Accepting new patients
Scott & White Hospital - Taylor Clinic/Center Past Accepting new patients

Locations

2608 Brockton Dr
Austin, TX 78758
Phone (512) 654-4050

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

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

1001 Westbank Dr
West Lake Hills, TX 78746
Phone (512) 654-4150

Interoperability endpoints

  • Direct secure messaging: eshulman302888@direct.sw.org

Organizations & group practices 4

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 8

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1659304673",
    "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": "254-724-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WESTBANK DR",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466669",
            "telephone_number": "512-654-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULMAN",
        "first_name": "EDIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "J1568",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J1568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129250004",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "8F7802",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "81413J",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eshulman302888@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1001 Westbank Dr",
            "city": "West Lake Hills",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787466669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EDIE",
            "last_name": "SHULMAN",
            "middle_name": "E",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Lake Hills, TX

Sources for this page

Verify at the official NPI Registry.