Shamoon A Doctor, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

F2437 Issued in TX

Practice address

612 N Bedell Ave
Ste a
Del Rio, TX 78840

Phone

(830) 765-3153

NPI assigned

Jun 25, 2006

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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Amaro Eye Clinic PLLC

  • Optometrist
  • Del Rio, TX
  • NPI 1528244704
  NPD (past)
• Isaac Ornelas

  • Physical Therapist
  • Brownsville, TX
  • NPI 1669855870
  NPD (past)
• Vaidya Urology Clinic Inc

  • Medical Specialty Clinic/Center
  • Point Pleasant, WV
  • NPI 1669653796
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586044800000",
    "number": "1972539484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 N BEDELL AVE",
            "address_2": "STE A",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "78840",
            "telephone_number": "830-765-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N BEDELL AVE",
            "address_2": "STE A",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "78840",
            "telephone_number": "830-765-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCTOR",
        "first_name": "SHAMOON",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-04-05",
        "certification_date": "2020-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "F2437",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "F2437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150283303",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P01314327",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163208501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150283302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kylie Dickson, PA
• Erica Renee Dilsaver, LPC
• Bradley Scott Dixon, LAT, ATC
• DLP Home Care Services LLC
• DME Specialists, L.P.
• Dorothy Whittle Duncan, LPC
• Timothy Lucas Duran, LPC-A
• Edson Martinez-Ruiz, DDS, PA
• Educare Comm Living LMTD Partnership
• Educare Community Living Limited Partnership

• Urology Physician in Del Rio, TX
• Providers in Del Rio, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.