DR. SHANNON MCMANAMA DICARLO M.D.
NPI 1588968119
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Houston, TX

Q: What is Shannon Dicarlo's NPI number?

The NPI number for Shannon Dicarlo is 1588968119. It was assigned to this individual provider in the NPPES registry on December 22, 2010.

Q: What is Shannon Dicarlo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Dicarlo was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 December 22, 2010PECOS Enrolled

6701 FANNIN ST, CCC 1250, HOUSTON, TX 77030(832) 822-5046 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Shannon Mcmanama Dicarlo M.d. NPPES

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

DR. SHANNON MCMANAMA DICARLO M.D. (NPI 1588968119) is an individual neurology with special qualifications in child neurology provider in Houston, Texas, licensed in Texas (P8656) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588968119

Entity TypeIndividualFemale

Primary Taxonomy2084N0402X

Provider Legal NameDR. SHANNON MCMANAMA DICARLOCredential: M.D.

Location Address6701 FANNIN ST, CCC 1250Houston, TX 77030-2608

Mailing Address5802 Benning DrHouston, TX 77096-6029 · (817) 917-3817

Phone(832) 822-5046

Sole ProprietorYes

Enumeration DateDecember 22, 2010

Last NPPES UpdateMay 7, 2025

NPPES CertifiedMay 7, 2025

✔ NPI 1588968119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0402X

License✔ Licensed in TX · P8656

Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Also ListedPediatricsTaxonomy 208000000X · License P8656 (TX)

6701 FANNIN ST, Houston, TX 77030

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shannon Mcmanama Dicarlo 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 Reassignments

Medicare enrollment records show Shannon Dicarlo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Texas Children's Physician Group

0.1 mi

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

NPI 1861675506 (832) 824-1000

Baylor College Of Medicine

0.2 mi

Internal Medicine

6620 MAIN ST
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
2,296 clinicians in this Medicare group

NPI 1104867175 (713) 798-2500

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SONIA ANN MONTEIRO MD

Pediatrics (Developmental - Behavioral Pediatrics)