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DR. MICHAEL MCSHAN MD
NPI 1912082249
General Practice in Kilgore, TX

Active since October 26, 2006PECOS Enrolled
1711 S HENDERSON BLVD, SUITE 100, KILGORE, TX 75662(903) 315-3800(903) 984-5367 Get Directions Write a Review

NPPES record last updated: November 14, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Michael Mcshan Md NPPES

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

DR. MICHAEL MCSHAN MD (NPI 1912082249) is an individual general practice provider in Kilgore, Texas, licensed in Texas (E4519) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912082249
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. MICHAEL MCSHANCredential: MD
Location Address1711 S HENDERSON BLVD, SUITE 100Kilgore, TX 75662-3563
Mailing AddressPo Box 731218Dallas, TX 75373-1218 · (903) 315-3800 · Fax (903) 984-5367
Phone(903) 315-3800
Fax(903) 984-5367
Sole ProprietorNo
Enumeration DateOctober 26, 2006
Last NPPES UpdateNovember 14, 2014
✔ NPI 1912082249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in TX · E4519
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedEmergency MedicineTaxonomy 207P00000X · License E4519 (TX)
Also ListedFamily MedicineTaxonomy 207Q00000X · License E4519 (TX)
1711 S HENDERSON BLVD, Kilgore, TX 75662
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Other Identifiers 5

Other00BP62TX · Blue Cross Blue Shield
Medicare PIN00BP62TX
Other752883733TX · Tax Id
Medicaid130926203TX
Medicare UPINB24801TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Mcshan 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 Michael Mcshan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Etmc Physician Group Inc.
25 mi
Cardiovascular Disease
1000 S BECKHAM AVE
Tyler, TX 75701
  • Reassigned Medicare billing, Texas enrollment
  • 636 clinicians in this Medicare group
NPI 1609382662 (903) 590-5611

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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL W. MCSHAN, M.D., P.A.
Family Medicine
1711 S HENDERSON BLVD, SUITE 300
KILGORE, TX 75662
Gregg County (903) 983-1578
LONGHORN DRUG COMPANY
Durable Medical Equipment & Medical Supplies
1711 S HENDERSON BLVD, #100
KILGORE, TX 75662
Gregg County (903) 983-5313
MARCY HALL FNP
Nurse Practitioner (Family)
1711 S HENDERSON BLVD
KILGORE, TX 75662
Gregg County (903) 758-2610
MR. MARK L DILLINGHAM PA
Physician Assistant
1711 S HENDERSON BLVD, SUITE 100
KILGORE, TX 75662
Gregg County (903) 315-3800
LONGHORN DRUG COMPANY
Pharmacy (Community/Retail Pharmacy)
1711 S HENDERSON BLVD
KILGORE, TX 75662
Gregg County (903) 983-5313

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 Michael Mcshan's NPI number?

The NPI number for Michael Mcshan is 1912082249. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Michael Mcshan located?

Michael Mcshan practices at 1711 S Henderson Blvd Suite 100, Kilgore, TX 75662. The listed phone number is (903) 315-3800.

What is Michael Mcshan's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Michael Mcshan enrolled in Medicare?

Yes. Michael Mcshan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Mcshan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Mcshan reassigns Medicare benefits to Etmc Physician Group Inc. (Tyler, 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 Michael Mcshan'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 Michael Mcshan was last updated on November 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.