ENAS MOHAMED SHANSHEN (MD) – Pediatric Cardiology Physician, NPI 1093092389

ENAS MOHAMED SHANSHEN (MD) is a healthcare provider. based in Amarillo, Texas. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 45984 (TX). The NPI Number for ENAS MOHAMED SHANSHEN (MD) is 1093092389

Main info

Female
19 Years Of Experience
Name
ENAS MOHAMED SHANSHEN (MD)
NPI
1093092389
Phone
(806) 414-9800
Address
1400 WALLACE BLVD
Enumeration Date
15 November 2011
Last Update Date
20 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
7012156870
Professional Enrollment ID
I20251017001695
Address ID
KY402022881LO500XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:14State licenses:2Digital endpointsOther names

2,256 PEDIATRIC MEDICINE in TX

Provider Addresses for ENAS MOHAMED SHANSHEN (MD)

  • 1400 WALLACE BLVD

    AMARILLO, TX 791061708

    Phone: (806) 414-9800

    Fax: (806) 354-5689

    Type: Mailing

  • 1400 S COULTER ST

    AMARILLO, TX 79106

    Phone: (806) 414-9800

    Fax: (806) 354-5689

    Type: Location

  • 201 E MADISON ST STE 328

    SPRINGFIELD, IL 627025131

    Phone: (217) 545-8000

    Type: Mailing

  • 400 N 9TH ST FL 2

    SPRINGFIELD, IL 627025310

    Phone: (217) 545-8000

    Type: Location

  • 1400 S Coulter St

    Amarillo, TX 79106

    Phone: (806) 414-9800

    Fax: (806) 354-5689

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2023-05-10 • Largest payer in this snapshot: Abbott Laboratories ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$23
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210721001706IPediatric MedicineILTBD
I20251017001695IPediatric MedicineINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79106)

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Reviews

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Frequently asked questions

What NPI should I save for ENAS MOHAMED SHANSHEN (MD)?
Save NPI 1093092389 if you need a stable reference for ENAS MOHAMED SHANSHEN (MD).
Does this profile mean ENAS MOHAMED SHANSHEN (MD) is currently active?
Yes — ENAS MOHAMED SHANSHEN (MD) appears active in the national provider directory.
What field does ENAS MOHAMED SHANSHEN (MD) work in?
You can think of ENAS MOHAMED SHANSHEN (MD) as practicing within Pediatric Cardiology Physician. Clinical services aligned with this taxonomy classification.
Where is ENAS MOHAMED SHANSHEN (MD)'s primary listing?
We display Amarillo, Texas because that is what the record indicates for ENAS MOHAMED SHANSHEN (MD).
Is ENAS MOHAMED SHANSHEN (MD) a real provider?
This page reflects official NPPES data for NPI 1093092389. Always confirm identity and privileges with the practice and licensing boards.

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