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

Q: What is Shannon Blalock's NPI number?

The NPI number for Shannon Blalock is 1285825505. It was assigned to this individual provider in the NPPES registry on August 5, 2007.

Q: What is Shannon Blalock's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Blalock was last updated on August 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 August 05, 2007PECOS Enrolled

5323 HARRY HINES BOULEVARD, DALLAS, TX 75390(214) 456-2333(214) 456-6154 Get Directions Write a Review

NPPES record last updated: August 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shannon Elizabeth Blalock Md NPPES

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

SHANNON ELIZABETH BLALOCK MD (NPI 1285825505) is an individual pediatric cardiology provider in Dallas, Texas, licensed in Texas (M1519) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285825505

Entity TypeIndividualFemale

Primary Taxonomy2080P0202X

Provider Legal NameSHANNON ELIZABETH BLALOCKCredential: MD

Location Address5323 HARRY HINES BOULEVARDDallas, TX 75390-7208

Mailing AddressP.o. Box 845347Dallas, TX 75284-5347 · (214) 456-2333 · Fax (214) 456-6154

Phone(214) 456-2333

Fax(214) 456-6154

Sole ProprietorNo

Enumeration DateAugust 5, 2007

Last NPPES UpdateAugust 15, 2011

✔ NPI 1285825505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in TX · M1519

Definition

A 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.

5323 HARRY HINES BOULEVARD, Dallas, TX 75390

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Other Identifiers 2

Medicare PINTXB117006TX

Medicaid204311905TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CHRISTUS Health Plan, WellPoint.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)

Shannon Elizabeth Blalock Md 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.

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.

DR. SANDEEP GUTTIKONDA MD

Emergency Medicine