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

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: October 25, 2026.

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

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
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.
6621 FANNIN ST, Houston, TX 77030

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

Pediatrics
6621 FANNIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Childrens Physician Group
  • 2,498 clinicians in this Medicare group

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

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.

Pediatrics (Pediatric Emergency Medicine)
6621 FANNIN ST
HOUSTON, TX 77030
Pediatrics (Pediatric Emergency Medicine)
6621 FANNIN ST
HOUSTON, TX 77030
Pediatrics (Pediatric Emergency Medicine)
6621 FANNIN ST
HOUSTON, TX 77030
Physical Therapist
6621 FANNIN ST
HOUSTON, TX 77030
Physician Assistant
6621 FANNIN ST
HOUSTON, TX 77030
Anesthesiology
6621 FANNIN ST
HOUSTON, TX 77030
Pediatrics (Pediatric Endocrinology)
6621 FANNIN ST
HOUSTON, TX 77030
Pediatrics (Pediatric Hematology-Oncology)
6621 FANNIN ST, MC 3-3320
HOUSTON, TX 77030

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 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.

Where is Shannon Yancovich located?

Shannon Yancovich practices at 6621 Fannin St, Houston, TX 77030. The listed phone number is (832) 824-1000.

What is Shannon Yancovich's specialty?

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

Is Shannon Yancovich enrolled in Medicare?

Yes. Shannon Yancovich is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shannon Yancovich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Yancovich reassigns Medicare benefits to Texas Children's Physician Group (Houston, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Yancovich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 15 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.