DR. KENNETH MARK SHAFFER M.D.
NPI 1922062652
Pediatrics - Pediatric Cardiology in Austin, TX

Active since April 12, 2006PECOS EnrolledAccepts Medicare Assignment
4314 MEDICAL PKWY, STE 200, AUSTIN, TX 78756(512) 454-1110 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kenneth Mark Shaffer M.d. NPPES

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

DR. KENNETH MARK SHAFFER M.D. (NPI 1922062652) is an individual pediatric cardiology provider in Austin, Texas, licensed in Texas (J2908) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (1990).

NPPES Registry Identity

NPI1922062652
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. KENNETH MARK SHAFFERCredential: M.D.
Location Address4314 MEDICAL PKWY, STE 200Austin, TX 78756-3334
Mailing Address4314 Medical Pkwy Ste 200Austin, TX 78756-3332
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1990
Enumeration DateApril 12, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1922062652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License Licensed in TX · J2908
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
4314 MEDICAL PKWY, Austin, TX 78756

Other Identifiers 1

Medicare UPINH04555TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kenneth Mark Shaffer M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971557000
PECOS Enrollment IDI20050310000737
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.

Other Providers at the Same Location NPPES 8

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

Pediatrics (Pediatric Cardiology)
4314 MEDICAL PKWY, SUITE 200
AUSTIN, TX 78756
Pediatrics (Pediatric Cardiology)
4314 MEDICAL PKWY, SUITE 200
AUSTIN, TX 78756
Pediatrics (Pediatric Cardiology)
4314 MEDICAL PKWY, SUITE 200
AUSTIN, TX 78756
Social Worker (Clinical)
4314 MEDICAL PKWY, SUITE 201
AUSTIN, TX 78756
Pediatrics (Pediatric Cardiology)
4314 MEDICAL PKWY, SUITE 200
AUSTIN, TX 78756
Pediatrics (Pediatric Cardiology)
4314 MEDICAL PKWY, SUITE 200
AUSTIN, TX 78756
Pediatrics (Pediatric Cardiology)
4314 MEDICAL PKWY, SUITE 200
AUSTIN, TX 78756
Psychologist (Rehabilitation)
4314 MEDICAL PKWY, STE. 201
AUSTIN, TX 78756

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 Kenneth Shaffer's NPI number?

The NPI number for Kenneth Shaffer is 1922062652. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Where is Kenneth Shaffer located?

Kenneth Shaffer practices at 4314 Medical Pkwy Ste 200, Austin, TX 78756. The listed phone number is (512) 454-1110.

What is Kenneth Shaffer's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Kenneth Shaffer enrolled in Medicare?

Yes. Kenneth Shaffer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kenneth Shaffer 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 Kenneth Shaffer 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 Kenneth Shaffer was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.