DR. KATHLEEN LOUISE SHIDE MD
NPI 1073550455
Radiology - Radiation Oncology in Fort Worth, TX

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
89.44/100
CMS Quality Rating
500 S HENDERSON ST STE 200, FORT WORTH, TX 76104(174) 131-5008(817) 413-1499 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kathleen Louise Shide Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATHLEEN LOUISE SHIDE MD (NPI 1073550455) is an individual radiation oncology provider in Fort Worth, Texas, licensed in Texas (K3007) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Fort Worth, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1996).

NPPES Registry Identity

NPI1073550455
Entity TypeIndividualFemale
Primary Taxonomy2085R0001X
Provider Legal NameDR. KATHLEEN LOUISE SHIDECredential: MD
Location Address500 S HENDERSON ST STE 200Fort Worth, TX 76104-2154
Mailing AddressPo Box 911230Dallas, TX 75391-1230 · (972) 997-8000 · Fax (972) 437-9605
Fax(817) 413-1499
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1996
Enumeration DateJune 2, 2006
Last NPPES UpdateDecember 9, 2021
NPPES CertifiedDecember 9, 2021
NPI 1073550455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License Licensed in TX · K3007
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
500 S HENDERSON ST STE 200, Fort Worth, TX 76104

Other Identifiers 3

Medicaid166057302TX
Medicaid166057303TX
Other8S3355TX · Blue Cross Of Texas

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kathleen Louise Shide Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638159379
PECOS Enrollment IDI20040722000945
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 28

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
23,194 services194 patients
Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev G6012
Radiation therapy involves directing high-energy particles to destroy cancer cells. The technique targets 3 or more areas, using custom blocks for precise focus. Tangential ports, wedges, and rotational beams adjust the radiation's path, while compensators balance radiation dose. Electron beam therapy with 6-10 mev energy is used for deep-seated tumors.
507 services26 patients
Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (eg,3d positional tracking, gating, 3d surface tracking), each fraction of treatment G6017
In radiation therapy, intra-fraction localization and tracking monitor patient or target movement during treatment. This ensures that radiation is accurately delivered to the correct area. Techniques like 3D positional tracking, gating, and 3D surface tracking are used to enhance precision.
360 services16 patients
Calculation of radiation therapy dose 77300
Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.
256 services53 patients
Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session G6015
Intensity-modulated radiation therapy (IMRT) is a type of cancer treatment. It uses advanced technology to manipulate photon beams of radiation to conform to the shape of a tumor. IMRT allows for the radiation dose to conform more precisely to the three-dimensional shape of the tumor by modulating—or controlling—the intensity of the radiation beam. This can result in better tumor control and less harm to healthy tissue.
254 services17 patients
Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
250 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450135
Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$171.07 typical visit price
range $56.47 – $171.07
Typical copayment $42.76 (range $14.11 – $42.76)
Most-billed visit code 99205
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.85
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
500 S HENDERSON ST STE 200
FORT WORTH, TX 76104
Internal Medicine (Hematology & Oncology)
500 S HENDERSON ST STE 200
FORT WORTH, TX 76104
Nurse Practitioner (Family)
500 S HENDERSON ST STE 200
FT WORTH, TX 76104
Nurse Practitioner (Family)
500 S HENDERSON ST STE 200
FORT WORTH, TX 76104
Radiology (Radiation Oncology)
500 S HENDERSON ST STE 200
FORT WORTH, TX 76104
Physician Assistant
500 S HENDERSON ST STE 200
FORT WORTH, TX 76104
Physician Assistant
500 S HENDERSON ST STE 200
FORT WORTH, TX 76104
Internal Medicine (Hematology & Oncology)
500 S HENDERSON ST STE 200
FORT WORTH, TX 76104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Shide's NPI number?

The NPI number for Kathleen Shide is 1073550455. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Kathleen Shide located?

Kathleen Shide practices at 500 S Henderson St Ste 200, Fort Worth, TX 76104. The listed phone number is (174) 131-5008.

What is Kathleen Shide's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Kathleen Shide enrolled in Medicare?

Yes. Kathleen Shide is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kathleen Shide accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan and 4 other insurers list Kathleen Shide as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kathleen Shide affiliated with any hospitals?

According to CMS data, Kathleen Shide is affiliated with Texas Health Harris Methodist Hospital Fort Worth.

When was this NPI record last updated?

The NPPES record for Kathleen Shide was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.