WILLIAM II SHADDOCK (M.D.) – Anesthesiology Physician, NPI 1194174342

WILLIAM II SHADDOCK (M.D.) is a healthcare provider. based in San antonio, Texas. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. BP10057319 (TX). The NPI Number for WILLIAM II SHADDOCK (M.D.) is 1194174342

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM II SHADDOCK (M.D.)
NPI
1194174342
Phone
(832) 610-4131
Address
18823 EDWARDS EDGE
Enumeration Date
8 June 2016
Last Update Date
2 July 2020

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
2142523501
Graduation Year
2020 (6 years ago)
PAC ID
7517258619
Group Practice PAC ID
5496029407
Professional Enrollment ID
I20200713001553
Address ID
TX752194265DA3300XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

4,591 ANESTHESIOLOGY in TX

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Provider Addresses for WILLIAM II SHADDOCK (M.D.)

  • 18823 EDWARDS EDGE

    SAN ANTONIO, TX 782561903

    Phone: (832) 610-4131

    Type: Mailing

  • 7703, Floyd Curl Drive, South Texas Medical Center, San Antonio, Bexar County, Texas, 78229, United States

    SAN ANTONIO, TX 782293901

    Phone: (210) 567-7000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-07-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20200713001553IAnesthesiologyTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00170Anesthesia for other procedure on mouth1515$0
View full utilization report →

Insurance plans in this area (ZIP 78256)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496029407View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)TX
-FL
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)KS
-TX
-TX
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YTX

Reviews

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Frequently asked questions

What is the registry number for WILLIAM II SHADDOCK (M.D.)?
The registry entry for WILLIAM II SHADDOCK (M.D.) shows NPI 1194174342.
Does the public listing show WILLIAM II SHADDOCK (M.D.) as active?
WILLIAM II SHADDOCK (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits WILLIAM II SHADDOCK (M.D.)?
NPPES ties WILLIAM II SHADDOCK (M.D.) to Anesthesiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit WILLIAM II SHADDOCK (M.D.) in San Antonio, Texas?
For routing, start with San Antonio, Texas for WILLIAM II SHADDOCK (M.D.), then verify phone and hours locally.
Who maintains WILLIAM II SHADDOCK (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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