Individual provider Active NPI

Shelley A Hall, MD

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Dallas, TX
National Provider Identifier
1912961145
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X
License
J2047 Issued in TX
Practice address
3409 Worth St Ste 500
Dallas, TX 75246-2057
Phone
(214) 841-2000
Fax
(214) 841-2015
NPI assigned
Apr 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X J2047 TX
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X J2047 TX Primary

Addresses

Primary practice location

3409 Worth St Ste 500
Dallas, TX 75246-2057

Mailing address

3409 Worth St Ste 500
Dallas, TX 75246-2057
Phone (214) 841-2000

Other identifiers 4

IdentifierTypeStateIssuer
123575605MedicaidTX
85G131OtherTXBCBS
123575604MedicaidTX
123575601MedicaidTX

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
I20100921001464 TX Practitioner - Advanced Heart Failure and Transplant CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2860525680 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Advanced Heart Failure and Transplant CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Texas Southwestern Medical School at Dallas, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartplace PLLCGroup PAC ID 2769386473, shared by 4 NPIs, 90 clinicians

Practice addresses (Care Compare)

7777 Forest LN
Suite A341
Dallas, TX 75230-2500
Phone (972) 566-7000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Cardiovascular Disease Current Accepting new patients
Heartplace, PLLC CurrentSince Dec 21, 1992 Accepting new patients
Healthtexas Provider Network CurrentSince Jul 14, 2011 Accepting new patients
Heartplace, PLLC Cardiovascular Disease CurrentSince Dec 21, 1992 Accepting new patients
Healthtexas Provider Network CurrentSince Jul 14, 2011 Accepting new patients
Heartplace, PLLC CurrentSince Jan 1, 2025 Accepting new patients
Heartplace, PLLC Cardiovascular Disease Past Accepting new patients

Locations

341 Cool Springs Blvd
Ste 305
Franklin, TN 37067
Phone (972) 391-1915

902 W Randol Mill Rd
Ste 200
Arlington, TX 76012
Phone (817) 461-3003

3409 Worth St
Ste 500
Dallas, TX 75246
Phone (214) 824-1730

16980 Dallas Pkwy
Ste 200
Dallas, TX 75248
Phone (214) 343-8565

621 N Hall St
Ste 500
Dallas, TX 75226
Phone (214) 841-2000

7777 Forest Ln
Ste A341
Dallas, TX 75230
Phone (972) 556-5700

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

399 W Campbell Rd
Ste 300
Richardson, TX 75080
Phone (972) 665-9100

Interoperability endpoints

  • Direct secure messaging: shelley.hall@ushv.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/14273/brand/6/csg/1/fhir/r4

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
Texas Health Heart & Vascular HospitalArlington, TX, CCN 670071 Hospital Other (0.54%) Sep 10, 2015

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 7

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1912961145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 WORTH ST STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462057",
            "telephone_number": "214-841-2000",
            "fax_number": "844-292-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 WORTH ST STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462057",
            "telephone_number": "214-841-2000",
            "fax_number": "214-841-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "SHELLEY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "J2047",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "TX",
            "license": "J2047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123575605",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "85G131",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123575604",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123575601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.