Individual provider Active NPI

David L Shepherd, MD

  • Urology Physician
  • Arlington, TX
National Provider Identifier
1730166893
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
K4242 Issued in TX
Practice address
801 W I 20 Ste 1
Arlington, TX 76017-5851
Phone
(817) 784-8268
Fax
(817) 417-1150
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X K4242 TX Primary

Addresses

Primary practice location

801 W I 20 Ste 1
Arlington, TX 76017-5851

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (817) 784-8268

Other identifiers 6

IdentifierTypeStateIssuer
117785906MedicaidTX
117785904MedicaidTX
117785905MedicaidTX
117785907MedicaidTX
117785909MedicaidTX
117785908OtherTXMEDICAID OTHER

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
I20060105000607 TX Practitioner - Urology 5799708764 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Washington University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

1101 6TH Ave
Suite 110
Fort Worth, TX 76104-4306
Phone (817) 912-8360

1400 8TH Ave
Fort Worth, TX 76104-4110

4001 Worth St
Dallas, TX 75246-1608

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

Hospital & facility affiliations

  • Baylor Scott and White Surgical Hospital Fortworth Hospital, Fort Worth, TX, CCN 450880
  • Baylor Scott and White All Saints Medical Center Hospital, Fort Worth, TX, CCN 450137
  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33459TXMDGeneral Practice Dentistry
K4242TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas PLLC CurrentSince Sep 1, 2012 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
Medical Clinic of North Texas, PLLC Urology Current Accepting new patients
Texas Oncology PA Current Accepting new patients
Texas Oncology PA CurrentSince Mar 1, 2024 Accepting new patients
Medical Clinic of North Texas, PLLC Urology CurrentSince Sep 1, 2012 Accepting new patients
Healthtexas Provider Network CurrentSince Jun 2, 2025 Accepting new patients
Healthtexas Provider Network Urology CurrentSince Jun 2, 2025 Accepting new patients
Texas Oncology PA CurrentSince Mar 1, 2024 Accepting new patients
Texas Oncology PA Urology Current Accepting new patients

Locations

809 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 277-7133

801 W Interstate 20
Ste 1
Arlington, TX 76017
Phone (817) 417-1100

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

4201 Brown Trl
Ste 101
Colleyville, TX 76034
Phone (682) 217-2102

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000

301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742

935 York Dr
Desoto, TX 75115
Phone (972) 591-0954

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

1325 Pennsylvania Ave
Ste 550
Ft Worth, TX 76104
Phone (817) 250-7190

6500 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 263-2600

925 Gessner Rd
Ste 550
Houston, TX 77024
Phone (713) 467-1722

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222

925 Santa Fe Dr
Ste 114
Weatherford, TX 76086
Phone (817) 303-4521

Interoperability endpoints

  • Direct secure messaging: dshepherd1365771@direct.sw.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 10

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 4

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1730166893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "817-784-8268",
            "fax_number": "817-259-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W I 20 STE 1",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175851",
            "telephone_number": "817-784-8268",
            "fax_number": "817-417-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "K4242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117785906",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117785904",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117785905",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117785907",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117785909",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID OTHER",
            "identifier": "117785908",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.