Organization Active NPI

Shield Texas Healthcare Inc

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
National Provider Identifier
1871818252
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SHIELD TEXAS HEALTHCARE INC
Practice address
9901 Broadway St Ste 113
San Antonio, TX 78217-4916
Phone
(800) 495-0999
Fax
(210) 375-0009
NPI assigned
Mar 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Mike Suor
Title
VP General Manager
Phone
(661) 294-4200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X

Addresses

Primary practice location

9901 Broadway St Ste 113
San Antonio, TX 78217-4916

Mailing address

27911 Franklin Pkwy
Valencia, CA 91355-4110
Phone (661) 294-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200212000912 TX DME Supplier - Medical Supply Company 3375979297 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Houston, TX
O20200313001158 TX DME Supplier - Medical Supply Company 3375979297 Practice locations: San Antonio, TX

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Shield Texas Healthcare Inc9901 Broadway St, San Antonio, TX 78217-4916(210) 375-0003 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Insulin Infusion Pumps and/or Supplies|Negative Pressure Wound Therapy Pumps/Supplies|Orthoses: Off-The-Shelf|Ostomy Supplies|Tracheotomy Supplies|Urological Supplies|Enteral Nut… Does not accept assignmentParticipating since Oct 28, 2019

National Provider Directory

National Provider Directory

Locations

9901 Broadway
Ste 113
San Antonio, TX 78217
Phone (210) 375-0003

NPI Registry JSON

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1871818252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27911 FRANKLIN PKWY",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554110",
            "telephone_number": "661-294-4200",
            "fax_number": "661-294-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 BROADWAY ST STE 113",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782174916",
            "telephone_number": "800-495-0999",
            "fax_number": "210-375-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIELD TEXAS HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-29",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "SUOR",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "VP GENERAL MANAGER",
        "authorized_official_telephone_number": "661-294-4200"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.