Shelley Rachel Robeniol, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

Q9895 Issued in TX

Practice address

5644 Preston Rd
Frisco, TX 75034-7420

Phone

(972) 529-4545

Fax

(214) 872-4323

NPI assigned

Apr 29, 2013

Sex

Female

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

Specialty

Family Practice

Education

New York College of Osteo Medicine of New York Institute of Technology, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Health Physicians PLLCGroup PAC ID 7810237740, 240 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Primary Health Physicians, PLLC

  • Urgent Care Clinic/Center
  • Denton, TX
  • NPI 1770048704
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1962846386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 E STATE HIGHWAY 121 STE 600",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750197942",
            "telephone_number": "972-745-7500",
            "fax_number": "972-956-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5644 PRESTON RD",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347420",
            "telephone_number": "972-529-4545",
            "fax_number": "214-872-4323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "645 E State Highway 121",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "750197942",
            "country_code": "US",
            "telephone_number": "972-745-7500",
            "fax_number": "972-956-8887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "645 E State Highway 121",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "750197942",
            "country_code": "US",
            "telephone_number": "972-745-7500",
            "fax_number": "972-956-8887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBENIOL",
        "first_name": "SHELLEY",
        "middle_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-29",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q9895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RKH Professional, PLLC
• Lauren K Roach, RBT
• Heather Roane
• Rob Dickerman DO PHD PA
• Robcole, Inc
• Robert L Bass MD Professional Association
• Laura Roberton
• Austi J Roberts
• Christy Renee Roberts, NURSE PRACTITIONER
• Hannah Roberts

• Family Medicine Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.
• 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.