DR. PETER YAMAMURA SHANE (MD) – Rheumatology Physician, NPI 1295513000

DR. PETER YAMAMURA SHANE (MD) is a healthcare provider. based in Galveston, Texas. specializing in RHEUMATOLOGY. They hold the professional credentials MD. They hold a License No. L3122 (TX). The NPI Number for DR. PETER YAMAMURA SHANE (MD) is 1295513000

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. PETER YAMAMURA SHANE (MD)
NPI
1295513000
Phone
(409) 772-0755
Address
400 HARBORSIDE DR SUITE 100
Enumeration Date
21 September 2023
Last Update Date
14 January 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
8063537000
Graduation Year
1997 (29 years ago)
PAC ID
2567443369
Group Practice PAC ID
5698744316
Professional Enrollment ID
I20231114003874
Address ID
TX791241601AM6842XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

503 RHEUMATOLOGY in TX

Provider Addresses for DR. PETER YAMAMURA SHANE (MD)

  • 400 HARBORSIDE DR SUITE 100

    GALVESTON, TX 775551188

    Phone: (409) 772-0755

    Fax: (409) 747-7012

    Type: Mailing

  • 2660 GULF FWY S

    LEAGUE CITY, TX 775736820

    Phone: (832) 505-2150

    Fax: (281) 337-0704

    Type: Location

  • 400 Harborside Dr Suite 100

    Galveston, TX 775551188

    Phone: (409) 772-0755

    Fax: (409) 747-7012

    Type: Location

  • 6842 Plum Creek Dr

    Amarillo, TX 791241601

    Phone: (806) 353-7000

    Fax: (888) 905-2452

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $890.

Total Amount is formed as General ($890) + Research ($0) + Ownership ($0) = $890.

Last reported payment date: 2024-09-23 • Largest payer in this snapshot: Aurinia Pharma U.S., Inc. ($310).

Total Amount

$890

General + Research + Ownership

Payments

27

Total payment records

General Amount

$890

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-11-14

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
I20231114003874IRheumatologyTXTBD

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 77555)

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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: 5698744316View full group profile
NameSpecialtyState
Rheumatology, Allergy/ImmunologyTX
R H E U M A T O L O G YNY
R H E U M A T O L O G YTX

Reviews

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Frequently asked questions

Is there an official ID for DR. PETER YAMAMURA SHANE (MD) in U.S. healthcare records?
The official identifier for DR. PETER YAMAMURA SHANE (MD) is NPI 1295513000.
Active or inactive — what applies to DR. PETER YAMAMURA SHANE (MD)?
You should see DR. PETER YAMAMURA SHANE (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. PETER YAMAMURA SHANE (MD)?
At a glance, DR. PETER YAMAMURA SHANE (MD) is tied to Rheumatology Physician. Clinical services aligned with this taxonomy classification.
Is DR. PETER YAMAMURA SHANE (MD) located near Galveston?
DR. PETER YAMAMURA SHANE (MD) currently maps to Galveston, Texas in this extract.
When was this NPI issued?
Enumeration for DR. PETER YAMAMURA SHANE (MD) is noted as September 21, 2023 where the registry provides it.

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