1. Home
  2. Directory
  3. Texas
  4. Frisco
  5. Pediatrics
  6. NPI Profile

SHANE MICHAEL MILLER M.D.
NPI 1487829719
Pediatrics - Sports Medicine in Frisco, TX

Active since April 28, 2008PECOS Enrolled
5700 DALLAS PKWY, FRISCO, TX 75034(469) 515-7100(214) 443-7309 Get Directions Write a Review

NPPES record last updated: February 1, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shane Michael Miller M.d. NPPES

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

SHANE MICHAEL MILLER M.D. (NPI 1487829719) is an individual sports medicine provider in Frisco, Texas, licensed in Texas (N2663) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487829719
Entity TypeIndividualMale
Primary Taxonomy2080S0010X
Provider Legal NameSHANE MICHAEL MILLERCredential: M.D.
Location Address5700 DALLAS PKWYFrisco, TX 75034-9580
Mailing Address2222 Welborn StDallas, TX 75219-3924 · (214) 559-5000 · Fax (214) 443-7309
Phone(469) 515-7100
Fax(214) 443-7309
Sole ProprietorNo
Enumeration DateApril 28, 2008
Last NPPES UpdateFebruary 1, 2019
✔ NPI 1487829719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080S0010X
Licenses✔ Licensed in TX · N2663✔ Licensed in CO · 46860
Definition
A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
5700 DALLAS PKWY, Frisco, TX 75034
Open in Google Maps ↗

Other Identifiers 1

Medicaid209257901TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shane Michael Miller M.d. 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 Shane Miller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Scottish Rite Hospital For Crippled Children
22 mi
Pediatric Orthopaedic Surgery
2222 WELBORN ST
Dallas, TX 75219
  • Reassigned Medicare billing, Texas enrollment
  • 179 clinicians in this Medicare group
NPI 1598188948 (214) 559-5000

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.

MR. RAYMOND W. KLEPOSKI III MSN, APN
Nurse Practitioner (Pediatrics)
5700 DALLAS PKWY
FRISCO, TX 75034
Denton County (469) 515-7100
DR. JOHN EDWARD ARVESEN M.D.
Orthopaedic Surgery
5700 DALLAS PKWY
FRISCO, TX 75034
Denton County (469) 515-7100
COURTNEY NICOLE WARREN PT, DPT
Physical Therapist
5700 DALLAS PKWY
FRISCO, TX 75034
Denton County (469) 515-7150
KRISTINA ANN EVANS LCSW
Social Worker (Clinical)
5700 DALLAS PKWY
FRISCO, TX 75034
Denton County (469) 515-7100
JESSICA DABIS
Physical Medicine & Rehabilitation (Sports Medicine)
5700 DALLAS PKWY
FRISCO, TX 75034
Denton County (469) 515-7158
ABIGAIL O'NEIL SOURYAL MD
Anesthesiology
5700 DALLAS PKWY
FRISCO, TX 75034
Denton County (469) 515-7100
TRACY GARCIA
Physician Assistant
5700 DALLAS PKWY
FRISCO, TX 75034
Denton County (469) 515-7100
JULIO JAVIER MASQUIJO
Orthopaedic Surgery (Sports Medicine)
5700 DALLAS PKWY
FRISCO, TX 75034
Denton County (469) 515-7100

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 Shane Miller's NPI number?

The NPI number for Shane Miller is 1487829719. It was assigned to this individual provider in the NPPES registry on April 28, 2008.

Where is Shane Miller located?

Shane Miller practices at 5700 Dallas Pkwy, Frisco, TX 75034. The listed phone number is (469) 515-7100.

What is Shane Miller's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

Is Shane Miller enrolled in Medicare?

Yes. Shane Miller is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shane Miller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Miller reassigns Medicare benefits to Texas Scottish Rite Hospital For Crippled Children (Dallas, 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 Shane Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shane Miller accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Shane Miller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shane Miller was last updated on February 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.