Kyle Shelton, D.O

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

T4268 Issued in TX

Practice address

301 University Blvd
Route 1119
Galveston, TX 77555-1119

Phone

(409) 772-3695

Fax

(409) 772-3680

NPI assigned

May 3, 2019

Last updated

Jun 8, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: kshelton379111@prddirect.texaschildrens.org

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1902461015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S BRAESWOOD BLVD STE 5330",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304466",
            "telephone_number": "832-827-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "address_2": "ROUTE 1119",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775551119",
            "telephone_number": "409-772-3695",
            "fax_number": "409-772-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "KYLE",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-03",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "10067755",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "T4268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarghi Sharma, MD
• Islam Mohamed Shatla, MD
• Michael Shaw, M.D.
• Deborah A Shed-Robinson
• Shah Sheikh, PHARM.D
• Morgan Shelton, MD
• Yicheng Shen, MD
• Angela J Shepherd, MD
• Antoinette Sherrill, R.N., FNP-C
• Taneya Shestopalova, MD

• Pediatrics Physician in Galveston, TX
• Providers in Galveston, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.