Sidney Shinkawa, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

J2795 Issued in TX

Practice address

700 Hwy 281 N
Marble Falls, TX 78654-5106

Phone

(830) 693-2600

Fax

(830) 693-9755

NPI assigned

Nov 18, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ascension Seton

  • Family Medicine Physician
  • Luling, TX
  • NPI 1215118609
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1689656266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1219",
            "city": "BURNET",
            "state": "TX",
            "postal_code": "786117219",
            "telephone_number": "512-715-3000",
            "fax_number": "512-756-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HWY 281 N",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786545106",
            "telephone_number": "830-693-2600",
            "fax_number": "830-693-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINKAWA",
        "first_name": "SIDNEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J2795",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J2795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID (SITE - RHC)",
            "identifier": "164170601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE (SITE - RHC)",
            "identifier": "458843",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104141006",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Edward Shanks, MD
• Shannon Jeannette Sharp
• Shaw Pain Clinic PLLC
• Jerod K Shaw, MD
• Kevin R Shelly, M.D.
• Andrey Shlyakt, PHARM D
• Mazen Nezar Shobassy, MD
• Brenda Suzanne Sikkema-Sykes, MS, LPC
• Slow Wave, Inc.
• Debra Lynn Smith, PHYSICIAN ASSISTANT

• Internal Medicine Physician in Marble Falls, TX
• Providers in Marble Falls, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.