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DAPHNE NIZZA SHAW M.D.
NPI 1144221623
Pediatrics in Fort Worth, TX

Active since August 09, 2005PECOS Enrolled
1108 S HENDERSON ST, FORT WORTH, TX 76104(817) 335-3255(817) 338-9563 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 22, 2021, Apr 9, 2021 (2 updates tracked since 2021).

About Daphne Nizza Shaw M.d. NPPES

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

DAPHNE NIZZA SHAW M.D. (NPI 1144221623) is an individual pediatrics provider in Fort Worth, Texas, licensed in Texas (L0592) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144221623
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDAPHNE NIZZA SHAWCredential: M.D.
Location Address1108 S HENDERSON STFort Worth, TX 76104-4430
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-1855 · Fax (682) 885-1396
Phone(817) 335-3255
Fax(817) 338-9563
Sole ProprietorNo
Enumeration DateAugust 9, 2005
Last NPPES UpdateApril 22, 20212 updates tracked since enumeration
NPPES CertifiedApril 22, 2021
✔ NPI 1144221623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · L0592
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License L0592 (TX)
1108 S HENDERSON ST, Fort Worth, TX 76104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daphne Nizza Shaw M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

ROBERT MITCHELL READINGER MD
Pediatrics
1108 S HENDERSON ST
FORT WORTH, TX 76104
Tarrant County (817) 335-3255
RAMIRO D. CAVAZOS M.D.
Pediatrics (Adolescent Medicine)
1108 S HENDERSON ST
FORT WORTH, TX 76104
Tarrant County (817) 335-3255
FORT WORTH PEDIATRICS
Pediatrics (Adolescent Medicine)
1108 S HENDERSON ST
FORT WORTH, TX 76104
Tarrant County (817) 335-3255
GARY B STRONG MD
Pediatrics
1108 S HENDERSON ST
FORT WORTH, TX 76104
Tarrant County (682) 885-3255
DR. RACHEL GAMBULOS HAMILTON M.D.
Pediatrics
1108 S HENDERSON ST
FORT WORTH, TX 76104
Tarrant County (817) 335-3255
R.L.STINSON JONES M.D.
Pediatrics (Adolescent Medicine)
1108 S HENDERSON ST
FORT WORTH, TX 76104
Tarrant County (817) 335-3255
WILLIAM B. SCROGGIE M.D.
Pediatrics (Adolescent Medicine)
1108 S HENDERSON ST
FORT WORTH, TX 76104
Tarrant County (817) 335-3255
MONICA MILIND PRADHAN M.D.
Pediatrics
1108 S HENDERSON ST
FORT WORTH, TX 76104
Tarrant County (817) 335-3255

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 Daphne Shaw's NPI number?

The NPI number for Daphne Shaw is 1144221623. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Daphne Shaw located?

Daphne Shaw practices at 1108 S Henderson St, Fort Worth, TX 76104. The listed phone number is (817) 335-3255.

What is Daphne Shaw's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Daphne Shaw enrolled in Medicare?

Yes. Daphne Shaw is registered in the Medicare PECOS enrollment system.

What insurance does Daphne Shaw accept?

Health plans from Baylor Scott and White Health Plan list Daphne Shaw 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.

When was this NPI record last updated?

The NPPES record for Daphne Shaw was last updated on April 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.