Individual provider Active NPI

Bill G Shumate Jr., M.D.

  • Family Medicine Physician
  • Plano, TX
National Provider Identifier
1871527424
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J8770 Issued in TX
Practice address
4708 Dexter Dr Ste 400
Plano, TX 75093-5288
Phone
(972) 993-8395
Fax
(972) 993-5051
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J8770 TX Primary

Addresses

Primary practice location

4708 Dexter Dr Ste 400
Plano, TX 75093-5288

Mailing address

3417 Gaston Ave Ste 700
Dallas, TX 75246-2031
Phone (972) 993-5000

Other identifiers 3

IdentifierTypeStateIssuer
127531506MedicaidTX
080174585OtherTXMEDICARE RR
8A9717OtherTXBCBS

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
I20100427000189 TX Practitioner - Family Practice 7719014547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Southwestern Medical School at Dallas, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians
Abksw Preferred Health Partners, PLLCGroup PAC ID 2961710892, 48 clinicians

Practice addresses (Care Compare)

4001 Worth St
Dallas, TX 75246-1608

4708 Dexter Dr
Suite 400
Plano, TX 75093-5288
Phone (972) 993-5050

7217 Telecom Pkwy
Garland, TX 75044-2203

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J8770TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abksw Preferred Health Specialty Partners PLLC Current Accepting new patients
Abksw Preferred Health Partners, PLLC CurrentSince Jul 1, 2022 Accepting new patients
Healthtexas Provider Network CurrentSince Aug 1, 2001 Accepting new patients
Healthtexas Provider Network Family Medicine CurrentSince Aug 1, 2001 Accepting new patients
Healthtexas Provider Network Family Medicine Past Accepting new patients

Locations

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

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

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

3417 Gaston Ave
Ste 700
Dallas, TX 75246
Phone (214) 823-4800

3535 Victory Group Way
Ste 330
Frisco, TX 75034
Phone (214) 823-4800

5345 N President George Bush Hwy
Garland, TX 75040
Phone (972) 495-5888

440 W Lyndon B Johnson Fwy
Ste 405
Irving, TX 75063
Phone (214) 823-4800

4708 Dexter Dr
Ste 400
Plano, TX 75093
Phone (214) 784-1779

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: bill.shumate@ntphp.eclinicaldirectplus.com
  • Direct secure messaging: bshumate222357@direct.sw.org

Organizations & group practices 5

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 2

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1871527424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 GASTON AVE STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462031",
            "telephone_number": "972-993-5000",
            "fax_number": "972-993-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 DEXTER DR STE 400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935288",
            "telephone_number": "972-993-8395",
            "fax_number": "972-993-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMATE",
        "first_name": "BILL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J8770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127531506",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "080174585",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8A9717",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.