Active NPI
Shannon B. Glass, MD
- Diagnostic Radiology Physician
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- Q1611
- Practice address
- 11937 US Highway 271
Tyler, TX 75708 - Phone
- (903) 877-7777
- NPI assigned
- May 31, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | Q1611 | TX | Primary |
Addresses
Primary practice location
11937 US Highway 271
Tyler, TX 75708
Mailing address
PO Box 846098
Dallas, TX 75284-1656
Phone (903) 531-5000
Other practice location 1
705 E Marshall Ave Ste 1003
Longview, TX 75601-5660
Phone (903) 315-3860
Other practice location 2
719 W Coke Rd Ste 3
Winnsboro, TX 75494-3060
Phone (903) 342-5227
Other practice location 3
115 Airport Rd
Sulphur Springs, TX 75482-2105
Phone (903) 885-7671
Other practice location 4
700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-2000
Other practice location 5
800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 606-5000
Other practice location 6
910 E Houston St Ste 650
Tyler, TX 75702-8370
Phone (903) 606-5300
Other practice location 7
11937 US Highway 271
Tyler, TX 75708-3154
Phone (903) 877-7777
Other practice location 8
811 S Washington Ave
Marshall, TX 75670-5336
Phone (903) 315-2130
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P02057868 | Other | TX | MEDICARE RAIL ROAD |
| 8JW906 | Other | TX | BCBS |
| P02057870 | Other | TX | MEDICARE RAIL ROAD |
| 348611003 | Medicaid | TX | |
| 348611004 | Medicaid | TX | |
| 667447 | Other | TX | MEDICARE |
| 667934 | Other | TX | MEDICARE |
| 8JP975 | Other | TX | BCBS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Tulane University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 E Dawson St
Tyler, TX 75701-2036
910 E Houston St
650 Christus Mother Frances Hospital
Tyler, TX 75702-8370
Phone (903) 531-5300
910 E Houston St
Christus Mother Frances Hospital
Tyler, TX 75702-8369
Phone (903) 531-5300
Hospital & facility affiliations
- Christus Mother Frances Hospital
- Christus Mother Frances Hospital- Jacksonville
- Baylor Scott & White Texas Spine & Joint Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mother Frances Hospital Regional Health Care Center | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Mother Frances Hospital-Winnsboro | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Mother Frances Hospital-Winnsboro | Current | Accepting new patients | |
| Mother Frances Hospital Winnsboro | Past | Accepting new patients | |
| Mother Frances Hospital | Past | Accepting new patients |
Locations
3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000
700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000
115 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 439-4052
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
910 E Houston St
Ste 650
Tyler, TX 75702
Phone (903) 510-5300
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
719 W Coke Rd
Ste 3
Winnsboro, TX 75494
Phone (903) 342-3376
719 W Coke Rd
Ste 4
Winnsboro, TX 75494
Phone (903) 342-3760
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.
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Family Medicine Physician
- Winnsboro, TX
- NPI 1598091555
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Critical Access Hospital
- Winnsboro, TX
- NPI 1659308948
-
- Certified Registered Nurse Anesthetist
- Tyler, TX
- NPI 1629185210
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1922294867
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Jacksonville, TX
- NPI 1952306672
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1942292255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1982923975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 846098",
"city": "DALLAS",
"state": "TX",
"postal_code": "752841656",
"telephone_number": "903-531-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11937 US HIGHWAY 271",
"city": "TYLER",
"state": "TX",
"postal_code": "75708",
"telephone_number": "903-877-7777"
}
],
"practiceLocations": [
{
"address_1": "705 E Marshall Ave Ste 1003",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756015660",
"country_code": "US",
"telephone_number": "903-315-3860",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "719 W Coke Rd Ste 3",
"address_purpose": "LOCATION",
"city": "Winnsboro",
"state": "TX",
"postal_code": "754943060",
"country_code": "US",
"telephone_number": "903-342-5227",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "115 Airport Rd",
"address_purpose": "LOCATION",
"city": "Sulphur Springs",
"state": "TX",
"postal_code": "754822105",
"country_code": "US",
"telephone_number": "903-885-7671",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 E Marshall Ave",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756015580",
"country_code": "US",
"telephone_number": "903-315-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 E Dawson St",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757012036",
"country_code": "US",
"telephone_number": "903-606-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "910 E Houston St Ste 650",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757028370",
"country_code": "US",
"telephone_number": "903-606-5300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11937 US Highway 271",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757083154",
"country_code": "US",
"telephone_number": "903-877-7777",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "811 S Washington Ave",
"address_purpose": "LOCATION",
"city": "Marshall",
"state": "TX",
"postal_code": "756705336",
"country_code": "US",
"telephone_number": "903-315-2130",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLASS",
"first_name": "SHANNON",
"middle_name": "B.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-31",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "Q1611",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAIL ROAD",
"identifier": "P02057868",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8JW906",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAIL ROAD",
"identifier": "P02057870",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "348611003",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "348611004",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "667447",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "667934",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8JP975",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.