Individual provider Active NPI

Shane Hayward Perkins, D.O.

  • Internal Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1659732295
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19447181 Issued in TX
Practice address
917 S Port Ave
Corpus Christi, TX 78405-2301
Phone
(361) 882-6161
Fax
(210) 247-9326
NPI assigned
Mar 9, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19447181 TX Primary

Addresses

Primary practice location

917 S Port Ave
Corpus Christi, TX 78405-2301

Mailing address

711 Navarro St FL 6
San Antonio, TX 78205-1711
Phone (210) 495-0224

Other practice location 1

7101 S Padre Island Dr
Corpus Christi, TX 78412-4913
Phone (361) 761-3280

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
I20170808001861 TX Practitioner - Internal MedicinePractitioner - Hospitalist 1759670292 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Lake Erie College of Osteopathic Medicine, Erie, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Texas PLLCGroup PAC ID 3476688318, 685 clinicians

Practice addresses (Care Compare)

2601 Dimmitt Rd
Plainview, TX 79072-1833
Phone (806) 296-5531

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19447181TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Jul 31, 2023 Accepting new patients
Texas Health Physicians Group CurrentSince Jul 1, 2020 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Covenant Medical Center Past Accepting new patients
Methodist Hospital Plainview Texas Past Accepting new patients

Locations

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

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

2601 Dimmitt Rd
Plainview, TX 79072
Phone (806) 296-4282

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

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

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Organizations & group practices 6

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 3

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": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1659732295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 NAVARRO ST FL 6",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782051711",
            "telephone_number": "210-495-0224",
            "fax_number": "210-247-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 S PORT AVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784052301",
            "telephone_number": "361-882-6161",
            "fax_number": "210-247-9326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7101 S Padre Island Dr",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784124913",
            "country_code": "US",
            "telephone_number": "361-761-3280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "SHANE",
        "middle_name": "HAYWARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "19447181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.