DR. KENNETH MARK SHAFFER M.D.
NPI 1922062652
Pediatrics - Pediatric Cardiology in Austin, TX
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
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Kenneth Shaffer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Austin, TX 78723
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Dell Childrens Medical Group
- 576 clinicians in this Medicare group
Round Rock, TX 78681
- Reassigned Medicare billing, Texas enrollment
- 432 clinicians in this Medicare group
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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUSTIN, TX 78756
AUSTIN, TX 78756
AUSTIN, TX 78756
AUSTIN, TX 78756
AUSTIN, TX 78756
AUSTIN, TX 78756
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.
Which organizations bill Medicare for Kenneth Shaffer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Shaffer reassigns Medicare benefits to 2 organizations: Dell Children's Medical Group (Austin, TX) and Magella Medical Associates Billing, Inc. (Round Rock, TX). Each 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 Kenneth Shaffer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 6 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.
# Dr. Kenneth Mark Shaffer, M.D. · NPI 1922062652
Pediatric Cardiology physician in Austin, Texas. Individual provider, active in the CMS NPPES registry since April 12, 2006.
## Identity
- **NPI:** 1922062652 (Entity type: Individual)
- **Enumerated:** April 12, 2006
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** J2908 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4314 MEDICAL PKWY, STE 200, Austin, TX 78756-3334
- **Phone:** (512) 454-1110
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Dell Children's Medical Group (NPI 1326072943, Austin, TX); Magella Medical Associates Billing, Inc. (NPI 1083631071, Round Rock, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Johns Hopkins University School Of Medicine, class of 1990
## Record status
- **NPPES last updated:** July 9, 2007
- **Other identifiers:** Medicare UPIN H04555 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1922062652) · Data from the CMS NPPES public registry.