NPI Details
DR. Shannon L Deshazo, M.D. is a family medicine in Mckinney, TX with 21 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Shannon L Deshazo, M.D. NPI is 1427261288. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduation Year:2005
The provider's business location address is:
5236 W. UNIVERSITY DR.
3200
MCKINNEY, TX
ZIP 75071-120
Phone: (972) 548-1717
Fax: (972) 548-9190
The NPI 1427261288 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 45D1104780 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Injection, denosumab, 1 mg (HCPCS:J0897)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Annual depression screening, 15 minutes (HCPCS:G0444)
- Hemoglobin a1c level (HCPCS:83036)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Injection of drug or substance under skin or into muscle (HCPCS:96372)
- Influenza vaccine split virus, preservative free (HCPCS:90662)
- Administration of vaccine (HCPCS:90471)
- Automated urinalysis test (HCPCS:81003)
- Administration of pneumococcal vaccine (HCPCS:G0009)
- Fee covid-19 vac 14 res (HCPCS:0134A)
- Coronavirus vaccine 14 (HCPCS:91313)
- Sarscov2 vac 50mcg/0.25ml im (HCPCS:91306)
- Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
- Pneumococcal vaccine, 13-valent (HCPCS:90670)
- Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
- Pneumococcal vaccine, 23-valent (HCPCS:90732)
- Destruction of precancer skin growth, 1 growth (HCPCS:17000)
The enumeration date for this NPI number is 5/8/2007 and was last updated on 7/2/2012.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207Q00000X | Family Medicine | | 24244 | NEBRASKA | No |
| 2 | 207Q00000X | Family Medicine | | N2469 | TEXAS | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 614226 | MEDICARE PIN | TEXAS | |
