DR. JEFFRY JOHN SHELLENBERGER (M.D.) – Emergency Medicine Physician, NPI 1356547640

DR. JEFFRY JOHN SHELLENBERGER (M.D.) is a healthcare provider. based in Cypress, Texas. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. P3583 (TX). The NPI Number for DR. JEFFRY JOHN SHELLENBERGER (M.D.) is 1356547640

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFRY JOHN SHELLENBERGER (M.D.)
NPI
1356547640
Phone
(281) 827-4262
Address
21214 NORTHWEST FWY
Enumeration Date
22 June 2007
Last Update Date
23 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
9284609191
Graduation Year
2007 (19 years ago)
PAC ID
3779615760
Group Practice PAC ID
5193190072
Professional Enrollment ID
I20190718001391
Address ID
CA945883334PL6612XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:18State licenses:1Digital endpointsOther names

4,050 EMERGENCY MEDICINE in TX

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Provider Addresses for DR. JEFFRY JOHN SHELLENBERGER (M.D.)

  • Northwest Freeway, Cypress, Harris County, Texas, 77429, United States

    CYPRESS, TX 774293373

    Phone: (281) 827-4262

    Type: Location

  • 6 LAKEVIEW PL

    HOUSTON, TX 770701300

    Phone: (281) 827-4262

    Type: Mailing

  • 7510 MCPHERSON RD

    LAREDO, TX 780416561

    Phone: (956) 242-6790

    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: 2019-07-18

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
I20120813000628IEmergency MedicineTXTBD
I20190718001391IEmergency MedicineCATBD

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 77429)

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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: 5193190072View full group profile
NameSpecialtyState
Internal MedicineHI
Emergency MedicineMA
O B S T E T R I C S/ G Y N E C O L O G YCA
Hospitalist, Internal MedicineNY
Diagnostic Radiology, Nuclear MedicineCA
Internal MedicineFL
Internal Medicine, Family PracticePA
Emergency MedicineUT
Internal MedicineCA
Internal MedicineMD

Reviews

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Frequently asked questions

Where can patients find DR. JEFFRY JOHN SHELLENBERGER (M.D.)'s NPI?
You can confirm DR. JEFFRY JOHN SHELLENBERGER (M.D.) with NPI 1356547640; it appears in the national provider directory.
Is DR. JEFFRY JOHN SHELLENBERGER (M.D.) active in the national directory?
DR. JEFFRY JOHN SHELLENBERGER (M.D.)'s public NPI profile is in an active state.
Does DR. JEFFRY JOHN SHELLENBERGER (M.D.) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for DR. JEFFRY JOHN SHELLENBERGER (M.D.). Clinical services aligned with this taxonomy classification.
Does DR. JEFFRY JOHN SHELLENBERGER (M.D.) practice in Texas?
You will see Cypress, Texas on file for DR. JEFFRY JOHN SHELLENBERGER (M.D.) alongside any extra practice locations.
What if Cypress, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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