SHANNON ELIZABETH YANCOVICH MD
NPI 1306309133
Pediatrics - Pediatric Emergency Medicine in Houston, TX

Q: What is Shannon Yancovich's NPI number?

The NPI number for Shannon Yancovich is 1306309133. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Q: What is Shannon Yancovich's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Yancovich was last updated on July 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 April 09, 2019PECOS Enrolled

6621 FANNIN ST, HOUSTON, TX 77030(832) 824-1000 Get Directions Write a Review

NPPES record last updated: July 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 5, 2025, Jun 18, 2025, Apr 9, 2019 (3 updates tracked since 2019).

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About Shannon Elizabeth Yancovich Md NPPES

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

SHANNON ELIZABETH YANCOVICH MD (NPI 1306309133) is an individual pediatric emergency medicine provider in Houston, Texas, licensed in Texas (T5703) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1306309133

Entity TypeIndividualFemale

Primary Taxonomy2080P0204X

Provider Legal NameSHANNON ELIZABETH YANCOVICHCredential: MD

Location Address6621 FANNIN STHouston, TX 77030-2399

Mailing Address6431 Fannin St # 3.151Houston, TX 77030-1501 · (713) 500-5800 · Fax (713) 500-5805

Phone(832) 824-1000

Sole ProprietorNo

Enumeration DateApril 9, 2019

Last NPPES UpdateJuly 5, 20253 updates tracked since enumeration

NPPES CertifiedJuly 5, 2025

✔ NPI 1306309133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in TX · T5703

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

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

6621 FANNIN ST, Houston, TX 77030

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Secondary Practice Location 1

Location 16431 Fannin St # 3.151Houston, TX 77030-1501 · Phone (713) 500-5800 · Fax (713) 500-5805

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 Yancovich 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. TAKETO BABA M.D.

Pediatrics (Pediatric Emergency Medicine)