Sarah N Ibanez Shaw, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

BP1709541 Issued in TX

Practice address

Ut Austin Dell Medical School Em Residency Program
1400 N. I-35, Suite 2.230
Austin, TX 78701

Phone

(512) 324-7010

NPI assigned

Apr 30, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sarah Nachelle Ibanez Former name

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

Emergency Medicine

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bluff Creek Emergency Medicine Associates, PAGroup PAC ID 1355605924, 79 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Hospitals of Providence - East Campus Hospital, El Paso, TX, CCN 670047
• The Hospitals of Providence - Memorial Campus Hospital, El Paso, TX, CCN 450002
• Sierra Medical Center Hospital, El Paso, TX, CCN 450668

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Bluff Creek Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • El Paso, TX
  • NPI 1679071690
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tenet Hospitals Limited

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1215969787
  Care Compare affiliation
• Tenet Hospitals Limited

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1700801909
  Care Compare affiliation
• Tenet Hospitals Limited

  • Rehabilitation Hospital Unit
  • El Paso, TX
  • NPI 1780927277
  Care Compare affiliation
• Tenet Hospitals Limited

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1972709970
  Care Compare affiliation

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1992326078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UT AUSTIN DELL MEDICAL SCHOOL EM RESIDENCY PROGRAM",
            "address_2": "1400 N. I-35, SUITE 2.230",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UT AUSTIN DELL MEDICAL SCHOOL EM RESIDENCY PROGRAM",
            "address_2": "1400 N. I-35, SUITE 2.230",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78701",
            "telephone_number": "512-324-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "SARAH",
        "middle_name": "N IBANEZ",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "BP1709541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "IBANEZ",
            "middle_name": "NACHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marissa Shaw
• Matthew Shaw
• Michelle Ann Shaw, PSYD
• Robin P Shaw
• Ryan Michael Edward Shaw
• Shawn Tassone MD PHD PLLC
• Lacy Alana Shawn, LCSW
• Peter Shin Shay, DDS
• She Will Foundation
• Ann Kathleen Shea, AUD, MA, CCC-A/SLP

• Emergency Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; 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.