SHANNON ELIZABETH BLALOCK MD NPI 1285825505
Pediatrics - Pediatric Cardiology in Dallas, TX

Individual Female Pediatrics Pediatric Cardiology PECOS Enrolled

About SHANNON ELIZABETH BLALOCK MD

Shannon Blalock is a pediatrician established in Dallas, Texas and her medical specialization is Pediatrics with a focus in pediatric cardiology . The NPI number of Shannon Blalock is 1285825505 and was assigned on August 2007. The practitioner's primary taxonomy code is 2080P0202X with license number M1519 (TX). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1285825505
Provider Name SHANNON ELIZABETH BLALOCK MD
Provider Location Address5323 HARRY HINES BOULEVARD DALLAS, TX 75390
Provider Mailing AddressP.O. BOX 845347 DALLAS, TX 75284
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date08-05-2007
Last Update Date08-15-2011

A pediatrician like Shannon Elizabeth Blalock Md is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.Shannon Blalock is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..

Shannon Blalock is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.



Primary Taxonomy

Taxonomy Code2080P0202X
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
SpecializationPediatric Cardiology
License No.M1519
License StateTX
Taxonomy DescriptionA pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Business Address

SHANNON ELIZABETH BLALOCK MD
5323 HARRY HINES BOULEVARD
DALLAS, TX
ZIP 75390
Phone: (214) 456-2333
Fax: (214) 456-6154

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Mailing Address

SHANNON ELIZABETH BLALOCK MD
P.O. BOX 845347
DALLAS, TX
ZIP 75284
Phone: (214) 456-2333
Fax: (214) 456-6154


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
TXB117006MEDICARE PIN (08)TX
204311905MEDICAID (05)TX

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285825505
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221651621050
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 6 + 2 + 1 + 0 + 5 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1285825505 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023078607 SUSAN THERESA IANNACCONE MD
Individual
Psychiatry & Neurology (Neurology)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 456-2768
1174584593 CLAUS G ROEHRBORN MD
Individual
Urology5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-0624
1245338623MR. KEMP H KERNSTINE MD, PH.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-7700
1184788416DR. DHARAM JAYDEEP KUMBHANI M.D.
Individual
Internal Medicine (Cardiovascular Disease)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-8000
1013063627 SASAN MIRFAKHRAEE MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-2800
1548307481DR. ISABEL CRISTINA ROJAS SANTAMARIA M.D.
Individual
Pediatrics (Pediatric Gastroenterology)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 456-8000
1154539534 TARA MICHELLE DUVAL MD
Individual
Internal Medicine (Geriatric Medicine)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-8600
1689834277DR. ABBIE MARTHA EWELL MD
Individual
Psychiatry & Neurology (Psychiatry)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 590-8761
1235387531 MANISH R MOHANKA MD, MPH
Individual
Internal Medicine (Pulmonary Disease)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-2800
1104053628 ANITA ANJALI HEGDE M.D.
Individual
Internal Medicine5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 648-9741
1689965659DR. MICHELLE RIMA KANDALAFT PH.D.
Individual
Psychologist5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 648-5160
1013977487DR. ARTHUR EDWARD FRANKEL MD
Individual
Internal Medicine (Hematology)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-4673
1932250115DR. BRIDGET DANIELLE STUART MD
Individual
Pediatrics (Pediatric Pulmonology)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 648-3903
1225229164DR. ZARMINA AMAN MD
Individual
Obstetrics & Gynecology5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-3838
1609053875DR. DEVIKA RADHIKA RAO MD
Individual
Pediatrics (Pediatric Pulmonology)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 456-2857
1992956825 SHAI MANZURI MD
Individual
Pediatrics (Pediatric Critical Care Medicine)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 456-5095
1841385580DR. CATHERINE B. ORSAK M.D.
Individual
Psychiatry & Neurology (Psychiatry)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 648-3043
1750554689DR. DIANA PATRICIA CASTRO MD
Individual
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 456-2768
1255356150DR. JASON PAUL CLARK MD
Individual
Internal Medicine (Critical Care Medicine)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-2800
1629288550 AURELIA MARIE SCHMALSTIEG M.D.
Individual
Internal Medicine (Infectious Disease)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-2800

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Shannon Elizabeth Blalock Md is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.