SHAWN JAMES CONNOLLY DO
NPI 1164096772
Emergency Medicine in San Antonio, TX

Q: What is Shawn Connolly's NPI number?

The NPI number for Shawn Connolly is 1164096772. It was assigned to this individual provider in the NPPES registry on May 18, 2021.

Q: What is Shawn Connolly's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Shawn Connolly was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 18, 2021PECOS Enrolled

8811 VILLAGE DR, SAN ANTONIO, TX 78217(210) 297-2000 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Shawn James Connolly Do NPPES

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

SHAWN JAMES CONNOLLY DO (NPI 1164096772) is an individual emergency medicine provider in San Antonio, Texas, licensed in Texas (U8700) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Middletown.

NPPES Registry Identity

NPI1164096772

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameSHAWN JAMES CONNOLLYCredential: DO

Location Address8811 VILLAGE DRSan Antonio, TX 78217-5415

Mailing Address39 Sullivan St, Po Bo 1029Wurtsboro, NY 12790 · (617) 842-0525

Phone(210) 297-2000

Sole ProprietorNo

Enumeration DateMay 18, 2021

Last NPPES UpdateMarch 19, 2024

NPPES CertifiedMarch 19, 2024

✔ NPI 1164096772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in TX · U8700

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

8811 VILLAGE DR, San Antonio, TX 78217

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Secondary Practice Location 1

Location 1707 E Main StMiddletown, NY 10940-2650 · Phone (845) 333-7373 · Fax (845) 333-7342

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Sendero Health Plans, Local Nonprofit.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shawn James Connolly Do 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.

Medicare Billing Reassignment

Medicare enrollment records show Shawn Connolly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Travis County Emergency Physicians PA

68 mi

Emergency Medicine

1201 W 38TH ST
Austin, TX 78705

Reassigned Medicare billing, Texas enrollment
1,511 clinicians in this Medicare group

NPI 1962440933 (330) 493-4443

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

83 services78 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

83 services80 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

38 services37 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78217 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 20

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

MR. JOSE FRANCISCO MUNOZ SABLAN JR. MSN ACNP-BC

Nurse Practitioner