Individual provider Active NPI

Marshall Sheide, DO

  • Emergency Medicine Physician
  • San Antonio, TX
National Provider Identifier
1952898108
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
S6042 Issued in TX
Practice address
4502 Medical Dr
San Antonio, TX 78229-4402
Phone
(210) 358-4000
NPI assigned
Apr 13, 2018
Last updated
Sep 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X S6042 TX Primary

Addresses

Primary practice location

4502 Medical Dr
San Antonio, TX 78229-4402

Mailing address

10142 Trailhead Pass
San Antonio, TX 78251-3257
Phone (801) 380-5632

Other practice location 1

715 SE Jonas Cir
Waukee, IA 50263-2301
Phone (801) 380-5632

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
I20200921000862 TX Practitioner - Emergency Medicine 0446678601 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Bryan Emergency Physicians PAGroup PAC ID 7416840574, 12 clinicians
CahrmcGroup PAC ID 6608916879, 32 clinicians

Practice addresses (Care Compare)

2801 Franciscan Dr
Bryan, TX 77802-2544
Phone (409) 986-7757

600 S Austin Rd
Eagle Lake, TX 77434-3202
Phone (979) 234-5571

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.86 of 100Reported as group
Quality
96.16
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.59 of 100Reported as group
Quality
90.83
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S6042TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Sep 7, 2020 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Jul 1, 2021 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Jul 1, 2021 Accepting new patients
Bryan Emergency Physicians PA Emergency Medicine CurrentSince Jul 11, 2023 Accepting new patients
Third Coast Emergency Physicians Southwest PA Emergency Medicine CurrentSince May 1, 2021 Accepting new patients
University of Texas Health Science Center at San Antonio Current Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Sep 7, 2020 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince May 1, 2021 Accepting new patients
Brazos Valley Emergency Physicians PA Emergency Medicine CurrentSince Jul 13, 2023 Accepting new patients

Locations

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

3349 S Highway 181
Kenedy, TX 78119
Phone (830) 583-3401

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

210 S Judson St
Navasota, TX 77868
Phone (936) 825-6585

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1952898108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10142 TRAILHEAD PASS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513257",
            "telephone_number": "801-380-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294402",
            "telephone_number": "210-358-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 SE Jonas Cir",
            "address_purpose": "LOCATION",
            "city": "Waukee",
            "state": "IA",
            "postal_code": "502632301",
            "country_code": "US",
            "telephone_number": "801-380-5632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEIDE",
        "first_name": "MARSHALL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-13",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "S6042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.