NPIMap

Individual provider Active NPI

William Lee Shaffer, M.D.

  • Nephrology Physician
  • Corpus Christi, TX
National Provider Identifier
1972506913
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
G0101 Issued in TX
Practice address
1521 S Staples St
Ste 601
Corpus Christi, TX 78404-3154
Phone
(361) 887-8451
Fax
(361) 887-6126
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X G0101 TX Primary

Addresses

Primary practice location

1521 S Staples St
Ste 601
Corpus Christi, TX 78404-3154

Mailing address

1521 S Staples St
Ste 601
Corpus Christi, TX 78404-3154
Phone (361) 887-8451

Other identifiers 1

IdentifierTypeStateIssuer
118760101MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address william.shaffer@direct.davitaphysiciansolutions.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070413000501 TX Practitioner - Nephrology 5597867788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Texas Medical Branch at Galveston, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney Specialists of South Texas, P.a. 9 clinicians

Practice addresses (Care Compare)

1521 S Staples St
Suite 601
Corpus Christi, TX 78404-3154
Phone (361) 887-8451

Hospital & facility affiliations

  • DaVita Southside Dialysis Dialysis facility, Corpus Christi, TX, CCN 742527
  • DaVita Coastal at Home Dialysis facility, Corpus Christi, TX, CCN 452715
  • DaVita Greenwood Holly Renal Center Dialysis facility, Corpus Christi, TX, CCN 672630
  • DaVita Morgan Avenue Dialysis Dialysis facility, Corpus Christi, TX, CCN 452800
  • DaVita Riverside Renal Center Dialysis facility, Robstown, TX, CCN 452751
  • Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Specialists of South Texas, P.a. Nephrology CurrentSince Feb 13, 1989 Accepting new patients
Dialysis Access Center, LLP Nephrology PastSince Nov 1, 2006 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

1521 S Staples St
Ste 601
Corpus Christi, TX 78404
Phone (361) 887-8451

5826 Esplanade Dr
Ste 204
Corpus Christi, TX 78414
Phone (361) 994-4858

Interoperability endpoints

  • Direct secure messaging: william.shaffer@direct.davitaphysiciansolutions.com
  • Direct secure messaging: william.shaffer.1@19285.direct.athenahealth.com

Organizations & group practices 3

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 6

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1972506913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 S STAPLES ST",
            "address_2": "STE 601",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043154",
            "telephone_number": "361-887-8451",
            "fax_number": "361-887-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 S STAPLES ST",
            "address_2": "STE 601",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043154",
            "telephone_number": "361-887-8451",
            "fax_number": "361-887-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "WILLIAM",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "G0101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118760101",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "william.shaffer@direct.davitaphysiciansolutions.com",
            "affiliation": "N",
            "address_1": "1521 S Staples St",
            "address_2": "Ste 601",
            "city": "Corpus Christi",
            "state": "TX",
            "country_code": "US",
            "postal_code": "784043154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.