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SHELLEY ETHAN WEISS M.D.
NPI 1699793760
Pediatrics in Dallas, TX

Active since July 17, 2006PECOS Enrolled
7777 FOREST LN STE C550, DALLAS, TX 75230(972) 566-4286(972) 566-8634 Get Directions Write a Review

NPPES record last updated: September 20, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shelley Ethan Weiss M.d. NPPES

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

SHELLEY ETHAN WEISS M.D. (NPI 1699793760) is an individual pediatrics provider in Dallas, Texas, licensed in Texas (L0958) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699793760
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameSHELLEY ETHAN WEISSCredential: M.D.
Location Address7777 FOREST LN STE C550Dallas, TX 75230-7518
Mailing AddressP.o. Box 961205Fort Worth, TX 76161-1205 · (817) 740-8450
Phone(972) 566-4286
Fax(972) 566-8634
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateSeptember 20, 2019
✔ NPI 1699793760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · L0958
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
7777 FOREST LN STE C550, Dallas, TX 75230
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Other Identifiers 2

Medicaid168133001TX
Medicaid168133002TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelley Ethan Weiss 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 Shelley Weiss reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Health Care, P.L.L.C.
19 mi
Ophthalmology
2201 WESTGATE PLAZA
Grapevine, TX 76051
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Health Care PLLC
  • 511 clinicians in this Medicare group
NPI 1164588596 (817) 410-2030

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 75230 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

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 Shelley Weiss's NPI number?

The NPI number for Shelley Weiss is 1699793760. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Shelley Weiss located?

Shelley Weiss practices at 7777 Forest Ln Ste C550, Dallas, TX 75230. The listed phone number is (972) 566-4286.

What is Shelley Weiss's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Shelley Weiss enrolled in Medicare?

Yes. Shelley Weiss is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shelley Weiss's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelley Weiss reassigns Medicare benefits to Texas Health Care, P.L.L.C. (Grapevine, 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 Shelley Weiss's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelley Weiss accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Shelley Weiss 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 Shelley Weiss was last updated on September 20, 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.