Tim Shepherd, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F4518 Issued in TX

Practice address

500 N Valley Pkwy
Ste 101
Lewisville, TX 75067

Phone

(972) 420-8777

Fax

(972) 219-1978

NPI assigned

Jun 22, 2005

Last updated

Aug 3, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Family Practice

Education

Loma Linda University School of Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Health Care PLLCGroup PAC ID 7214840867, 363 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas Health Presbyterian Hospital Denton Hospital, Denton, TX, CCN 450743
• Medical City Lewisville Hospital, Lewisville, TX, CCN 450669

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: timothy.shepherd.p1@direct.thc.nextgenshare.com

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.

• Texas Health Care, P.L.L.C.

  • Interventional Pain Medicine Physician
  • Fort Worth, TX
  • NPI 1477628873
  Medicare reassignment Care Compare group NPD
• Bridges Healthcare

  • Family Medicine Physician
  • Flower Mound, TX
  • NPI 1952881484
  Authorized official Same address or phone
• Tim Shepherd MD PA

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1255655007
  Authorized official Same address or phone
• Texas Health Care, P.L.L.C.

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1073679437
  NPD
• Texas Health Care, P.L.L.C.

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1821026352
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbia Medical Center of Lewisville Subsidiary LP

  dba Medical City Lewisville

  • General Acute Care Hospital
  • Lewisville, TX
  • NPI 1255384533
  Care Compare affiliation
• Texas Health Presbyterian Hospital Denton

  • General Acute Care Hospital
  • Denton, TX
  • NPI 1003883158
  Care Compare affiliation

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1760488027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N VALLEY PKWY STE 101",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673479",
            "telephone_number": "972-420-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N VALLEY PKWY",
            "address_2": "STE 101",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "75067",
            "telephone_number": "972-420-8777",
            "fax_number": "972-219-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "TIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F4518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00DQ67",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "B26392",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00822864",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114490905",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephenie Ann Sharp, DDS
• Esther Shau
• Carol Ann Sheer, RD, LD,CDE
• Sheldon Cho Medical PLLC (Anapa Pain Clinic)
• Shepherd Lane Dental
• Marsha Louise Sheppard, PA-C
• Dustin Allan Shera
• Sheridan Healthcare of Texas PA (Sheridan Childrens Healthcare Services of Texas PA)
• Sheridan Healthcare of Texas PA (Sheridan Childrens Healthcare Services of Texas PA)
• Sheridan Rop Services of Texas, P.a.

• Family Medicine Physician in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.

Verify at the official NPI Registry.