Active NPI
Shane Cameron Eizember, MD
- Orthopaedic Surgery of the Spine Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- T6225
- Practice address
- 11212 State Highway 151 Ste 150
San Antonio, TX 78251-4505 - Phone
- (210) 630-4645
- Fax
- (210) 630-4646
- NPI assigned
- May 10, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | T6225 | TX | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | T6225 | TX | Primary |
Addresses
Primary practice location
11212 State Highway 151 Ste 150
San Antonio, TX 78251-4505
Mailing address
400 Concord Plaza Dr Ste 300
San Antonio, TX 78216-6991
Phone (210) 804-5416
Other practice location 1
400 Concord Plaza Dr Ste 300
San Antonio, TX 78216-6991
Phone (210) 630-4645
Other practice location 2
3327 Research Plz Ste 215
San Antonio, TX 78235-5157
Phone (210) 630-4645
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11212 State Hwy 151
Suite 150
San Antonio, TX 78251-4505
Phone (210) 804-5400
Hospital & facility affiliations
- Capitol Home Health
- Baptist Medical Center
- Connally Memorial Medical Center
- Westover Hills Baptist Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.86 of 100
- Quality
- 65.93
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 71.93
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 89 |
| Laminectomy or laminotomy (partial removal of spine bones) | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T6225 | TX | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The San Antonio Orthopaedic Group, LLP | Orthopaedic Surgery | Current | Accepting new patients |
| The San Antonio Orthopaedic Group, LLP | Orthopaedic Surgery | Current | Accepting new patients |
| Trinity Regional Medical Center | Orthopaedic Surgery | Past | Accepting new patients |
Locations
100 N 6th St
Ste 900A
Minneapolis, MN 55403
400 Concord Plaza Dr
Ste 300
San Antonio, TX 78216
Phone (210) 804-5416
11212 State Highway 151
Ste 150
San Antonio, TX 78251
Phone (210) 233-1215
3327 Research Plz
Ste 215
San Antonio, TX 78235
Phone (210) 396-5285
1200 Brooklyn Ave
Ste 320
San Antonio, TX 78212
Phone (210) 225-5741
Interoperability endpoints
- shane.eizember.1@94.direct.athenahealth.com
- shane.eizember.1@3199.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- San Antonio, TX
- NPI 1720022494
-
- Orthopedic Physical Therapist
- San Antonio, TX
- NPI 1770042152
Orthopaedic Surgery
-
- Emergency Medicine Physician
- Fort Dodge, IA
- NPI 1073594156
Orthopaedic Surgery
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Antonio, TX
- NPI 1225472913
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1598744856
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1831970532
-
- General Acute Care Hospital
- Floresville, TX
- NPI 1871599829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745452800000",
"number": "1720434624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 CONCORD PLAZA DR STE 300",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782166991",
"telephone_number": "210-804-5416",
"fax_number": "210-678-4142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11212 STATE HIGHWAY 151 STE 150",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782514505",
"telephone_number": "210-630-4645",
"fax_number": "210-630-4646"
}
],
"practiceLocations": [
{
"address_1": "400 Concord Plaza Dr Ste 300",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782166991",
"country_code": "US",
"telephone_number": "210-630-4645",
"fax_number": "210-630-4646",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3327 Research Plz Ste 215",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782355157",
"country_code": "US",
"telephone_number": "210-630-4645",
"fax_number": "210-630-4646",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EIZEMBER",
"first_name": "SHANE",
"middle_name": "CAMERON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-10",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "T6225",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "TX",
"license": "T6225",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.