Miranda Shalek, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA14399 Issued in TX

Practice address

9150 Huebner Rd Ste 290
San Antonio, TX 78240-1598

Phone

(210) 614-6432

Fax

(210) 293-4171

NPI assigned

Apr 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miranda Domingo Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: miranda.shalek.1@8363.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/935/brand/1/csg/1/fhir/r4

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.

• Christus Trinity Clinic Texas

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1285684225
  Medicare reassignment NPD
• Seton Family of Doctors

  • Neurological Surgery Physician
  • Austin, TX
  • NPI 1588997233
  Medicare reassignment NPD
• South Texas Spinal Clinic, P.a.

  • Orthopaedic Surgery Physician
  • San Antonio, TX
  • NPI 1679506653

  Physician Assistant

  Medicare reassignment NPD
• Orthopedic & Spine Surgical Hospital of South Texas, L.P.

  • Hospitalist Physician
  • San Antonio, TX
  • NPI 1366854168
  Medicare reassignment
• St. David'S Ortho, Neuro and Rehab, PLLC

  • Orthopaedic Surgery Physician
  • Austin, TX
  • NPI 1669742755
  Medicare reassignment
• Christus Trinity Clinic Texas

  • Rural Health Clinic/Center
  • Winnsboro, TX
  • NPI 1801673165
  NPD
• Seton Family of Doctors

  • Radiology Clinic/Center
  • Austin, TX
  • NPI 1275290694
  NPD
• South Texas Spinal Clinic, P.a.

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
  • NPI 1518397322
  NPD
• Hillside Primary Care PLLC

  • Internal Medicine Physician
  • Live Oak, TX
  • NPI 1205349040
  NPD (past)

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1861073009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 HUEBNER RD STE 290",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401598",
            "telephone_number": "210-614-6432",
            "fax_number": "210-293-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 HUEBNER RD STE 290",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401598",
            "telephone_number": "210-614-6432",
            "fax_number": "210-293-4171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1623 Sunshine Peak",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781309095",
            "country_code": "US",
            "telephone_number": "806-674-0265",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 Wonder World Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "TX",
            "postal_code": "786667502",
            "country_code": "US",
            "telephone_number": "210-951-9055",
            "fax_number": "210-951-9066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "189 E Austin St Ste 101",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781304170",
            "country_code": "US",
            "telephone_number": "210-951-9055",
            "fax_number": "210-951-9066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12709 Toepperwein Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "TX",
            "postal_code": "782333259",
            "country_code": "US",
            "telephone_number": "210-625-4733",
            "fax_number": "210-625-4734",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6704 Guada Coma Dr",
            "address_purpose": "LOCATION",
            "city": "Schertz",
            "state": "TX",
            "postal_code": "781543247",
            "country_code": "US",
            "telephone_number": "210-614-6432",
            "fax_number": "210-293-4171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18626 Hardy Oak Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584228",
            "country_code": "US",
            "telephone_number": "210-614-6432",
            "fax_number": "210-293-4171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHALEK",
        "first_name": "MIRANDA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "DOMINGO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tamer Shaker
• Christy Shakes, OTR
• Trayana Shakespeare
• Hussain Shakir, MD
• Shakti Services Inc
• Brandi Shaler, LMSW, MS, CPC
• Shalise M. Schnitz, LCSW , PLLC
• Shalom Family and Weight Loss Clinic, PLLC
• Leah Shama Brown, D.O.
• Fatima Shamaa, OTD

• Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.