SHANDA HALEY BLACKMON M.D., M.P.H.
NPI 1952347965
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Houston, TX

Q: What is Shanda Blackmon's NPI number?

The NPI number for Shanda Blackmon is 1952347965. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Q: What is Shanda Blackmon's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Shanda Blackmon was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 June 20, 2006PECOS EnrolledAccepts Medicare Assignment

7200 CAMBRIDGE ST FL 6, HOUSTON, TX 77030(713) 798-6376 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 9, 2024, Aug 12, 2020, Apr 12, 2019 and 1 more (4 updates tracked since 2018).

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About Shanda Haley Blackmon M.d., M.p.h. NPPES

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

SHANDA HALEY BLACKMON M.D., M.P.H. (NPI 1952347965) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Houston, Texas, licensed in Texas (L6794) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1952347965

Entity TypeIndividualFemale

Primary Taxonomy208G00000X

Provider Legal NameSHANDA HALEY BLACKMONCredential: M.D., M.P.H.

Location Address7200 CAMBRIDGE ST FL 6Houston, TX 77030-4202

Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511

Phone(713) 798-6376

Sole ProprietorNo

Medical School CMSMorehouse School Of MedicineGraduated 1998

Enumeration DateJune 20, 2006

Last NPPES UpdateSeptember 23, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2025

✔ NPI 1952347965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Licenses✔ Licensed in TX · L6794✔ Licensed in MN · 58299

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

7200 CAMBRIDGE ST FL 6, Houston, TX 77030

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Secondary Practice Locations 4

Location 1200 1st St SWRochester, MN 55905-0001 · Phone (507) 284-2511

Location 21101 Bates AveHouston, TX 77030-2607 · Phone (713) 798-6376

Location 31327 Lake Pointe Pkwy Ste 305Sugar Land, TX 77478-4394 · Phone (713) 798-7711

Location 47200 Cambridge St Fl 10Houston, TX 77030-4202 · Phone (713) 798-6376

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shanda Haley Blackmon M.d., M.p.h. 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 ID5092733360

PECOS Enrollment IDI20051104000321

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

15 services12 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450193

Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County

Emergency services

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

$176.98 typical visit price

range $58.24 – $176.98

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

Most-billed visit code 99205

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

Most-billed visit code 99213

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.

ETENESH MOLLA NP

Nurse Practitioner