NPIMap

Individual provider Active NPI

Shaili Khandheria Felton, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Lubbock, TX
National Provider Identifier
1689791949
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
N7421 Issued in TX
Practice address
10208 Quaker Ave Ste 200B
Lubbock, TX 79424-8394
Phone
(806) 712-9007
Fax
(806) 712-0247
NPI assigned
Mar 23, 2007
Last updated
Nov 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X N7421 TX Primary

Addresses

Primary practice location

10208 Quaker Ave Ste 200B
Lubbock, TX 79424-8394

Mailing address

10208 Quaker Ave
Ste 200B
Lubbock, TX 79424-8394
Phone (806) 712-9007

Other practice location 1

4642 N Loop 289 Ste 211
Lubbock, TX 79416-2425
Phone (806) 712-9007

Other identifiers 4

IdentifierTypeStateIssuer
178935100OtherTXFIRSTCARE
47572728MedicaidNM
8CR061OtherTXBCBS
218583701MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shaili.felton@direct.myteamcare.com

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
I20101216001151 TX Practitioner - Endocrinology 5395933394 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Texas Tech University Health Science Center School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3601 4TH St
Lubbock, TX 79430-0002
Phone (806) 743-2669

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Apr 1, 2021 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Apr 1, 2021 Accepting new patients
Texas Physicians Group CurrentSince Sep 17, 2018 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients

Locations

3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000

4642 N Loop 289
Ste 211
Lubbock, TX 79416
Phone (806) 712-9007

4802 N Loop 289
Lubbock, TX 79416
Phone (806) 788-0004

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24018/brand/1/csg/1/fhir/r4
  • Direct secure messaging: shaili.felton@direct.myteamcare.com

Organizations & group practices 5

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 10

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1689791949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10208 QUAKER AVE",
            "address_2": "STE 200B",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794248394",
            "telephone_number": "806-712-9007",
            "fax_number": "806-712-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10208 QUAKER AVE STE 200B",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794248394",
            "telephone_number": "806-712-9007",
            "fax_number": "806-712-0247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4642 N Loop 289 Ste 211",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794162425",
            "country_code": "US",
            "telephone_number": "806-712-9007",
            "fax_number": "806-712-0247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELTON",
        "first_name": "SHAILI",
        "middle_name": "KHANDHERIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "N7421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE",
            "identifier": "178935100",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47572728",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CR061",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218583701",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shaili.felton@direct.myteamcare.com",
            "affiliation": "N",
            "address_1": "3601 4th St",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794300002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.