Individual provider Active NPI

Shanisa S Harrold, MD

  • Internal Medicine Physician
  • Irving, TX
National Provider Identifier
1831651504
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
U1509 Issued in TX
Practice address
909 Hidden RDG Ste 300
Irving, TX 75038-3801
Phone
(469) 776-6222
NPI assigned
Apr 2, 2019
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X U1509 TX Primary

Addresses

Primary practice location

909 Hidden RDG Ste 300
Irving, TX 75038-3801

Mailing address

909 Hidden RDG Ste 300
Irving, TX 75038-3801
Phone (469) 776-6222

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
I20230323003035 TX Practitioner - Internal Medicine 8123454733 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tapestry Telehealth PLLCGroup PAC ID 4789942335, 80 clinicians

Practice addresses (Care Compare)

325 N Saint Paul St
Suite 3100
Dallas, TX 75201-3923
Phone (203) 666-8145

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U1509TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seasons Medical Group of Texas, PLLC CurrentSince Feb 3, 2025 Accepting new patients
Wellmed Medical Group, PA Internal Medicine CurrentSince Jul 28, 2025 Accepting new patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Jul 28, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 28, 2023 Accepting new patients
Tapestry Telehealth PLLC Internal Medicine CurrentSince Jan 24, 2026 Accepting new patients
Seasons Hospice & Palliative Care of Texas, Inc PastSince Apr 9, 2024 Accepting new patients

Locations

17855 Dallas Pkwy
Ste 300A
Dallas, TX 75287
Phone (817) 887-0017

325 N Saint Paul St
Ste 3100
Dallas, TX 75201
Phone (203) 747-8696

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

448 Castroville Rd
San Antonio, TX 78207
Phone (210) 434-1400

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1831651504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 HIDDEN RDG STE 300",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383801",
            "telephone_number": "469-776-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 HIDDEN RDG STE 300",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383801",
            "telephone_number": "469-776-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARROLD",
        "first_name": "SHANISA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U1509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.