Individual provider Active NPI

Peter McIntyre Shedden, M.D.

  • Neurological Surgery Physician
  • The Woodlands, TX
National Provider Identifier
1861464893
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
J1040 Issued in TX
Practice address
9200 New Trails Dr
Suite 100
The Woodlands, TX 77381-5256
Phone
(281) 364-9509
Fax
(281) 364-0984
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X J1040 TX Primary

Addresses

Primary practice location

9200 New Trails Dr
Suite 100
The Woodlands, TX 77381-5256

Mailing address

309 N Slide Rd
Lubbock, TX 79416-1549
Phone (806) 761-0333

Other practice location 1

3502 9th St
MOP I, Suite 430
Lubbock, TX 79415-3300
Phone (806) 761-0535

Other practice location 2

602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 761-0535

Other identifiers 4

IdentifierTypeStateIssuer
J1040OtherTXSTATE LICENSE
84021BOtherTXBCBS #
136244401MedicaidTX
4266316OtherTXAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040109000585 TX Practitioner - Neurosurgery 5496653875 Reassigns benefits to 2 organizations
I20201005001196 CO Practitioner - Neurosurgery 5496653875

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Queen'S School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umc PhysiciansGroup PAC ID 9830003631, 107 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
The Greater Houston Neurosurgery Center, P.a.Group PAC ID 3678471059, 6 clinicians

Practice addresses (Care Compare)

3502 9TH St
Suite 430
Lubbock, TX 79415-3368
Phone (806) 761-0535

8215 Cypresswood Dr
Spring, TX 77379-7466
Phone (832) 717-0877

9200 New Trails Dr
100 Suite 100
The Woodlands, TX 77381-5257
Phone (281) 364-9509

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Houston, TX, CCN 673134
  • Enhabit Home Health Home health agency, Lufkin, TX, CCN 679509
  • Enhabit Home Health Home health agency, Houston, TX, CCN 679137
  • Enhabit Home Health Home health agency, Livingston, TX, CCN 678324
  • CHI St Lukes Lakeside Hospital Hospital, The Woodlands, TX, CCN 670059
  • St Luke'S the Woodlands Hospital Hospital, The Woodlands, TX, CCN 450862
  • CHI St Lukes Health Memorial Lufkin Hospital, Lufkin, TX, CCN 450211
  • University Medical Center Hospital, Lubbock, TX, CCN 450686
  • HCA Houston Healthcare Tomball Hospital, Tomball, TX, CCN 450670

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion299
Laminectomy or laminotomy (partial removal of spine bones)268

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J1040TXMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McAllen Hospitalist Group, PLLC CurrentSince Jun 6, 2019 Accepting new patients
Umc Physicians CurrentSince Jan 26, 2026 Accepting new patients
The Greater Houston Neurosurgery Center, P.a. Specialist CurrentSince Oct 18, 2010 Accepting new patients

Locations

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

5219 City Bank Pkwy
Ste 35
Lubbock, TX 79407
Phone (806) 761-0334

3502 9th St
Ste 430
Lubbock, TX 79415
Phone (806) 744-1171

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

5219 City Bank Pkwy
Ste 130
Lubbock, TX 79407

808 Joliet Ave
Lubbock, TX 79415
Phone (806) 722-7400

301 W Expressway 83
McAllen, TX 78503
Phone (956) 467-9552

9200 New Trails Dr
Ste 100
The Woodlands, TX 77381
Phone (281) 364-9509

455 School St
Ste 12
Tomball, TX 77375
Phone (281) 364-9509

Interoperability endpoints

  • Direct secure messaging: petershedden@tghnc.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St Luke'S Lakeside HospitalThe Woodlands, TX, CCN 670059 Hospital General Partnership Interest
Corporate Director
Dec 31, 2008
Jun 12, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1861464893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 N SLIDE RD",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794161549",
            "telephone_number": "806-761-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 NEW TRAILS DR",
            "address_2": "SUITE 100",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773815256",
            "telephone_number": "281-364-9509",
            "fax_number": "281-364-0984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3502 9th St",
            "address_2": "MOP I, Suite 430",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794153300",
            "country_code": "US",
            "telephone_number": "806-761-0535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 Indiana Ave",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794153364",
            "country_code": "US",
            "telephone_number": "806-761-0535",
            "fax_number": "806-761-0534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEDDEN",
        "first_name": "PETER",
        "middle_name": "MCINTYRE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "J1040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "J1040",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS #",
            "identifier": "84021B",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136244401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4266316",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.