KEVIN D. SHOULTS (M.D.) – Anesthesiology Physician, NPI 1568461226

KEVIN D. SHOULTS (M.D.) is a healthcare provider. based in Dallas, Texas. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 036093083 (IL). The NPI Number for KEVIN D. SHOULTS (M.D.) is 1568461226

Main info

Male
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN D. SHOULTS (M.D.)
NPI
1568461226
Phone
(254) 724-2111
Address
PO BOX 844658
Enumeration Date
15 July 2005
Last Update Date
22 October 2020

Doctor Profile

Medical School Name
R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Secondary Phone
5126544319
Graduation Year
1992 (34 years ago)
PAC ID
6709898513
Group Practice PAC ID
8123923604
Professional Enrollment ID
I20191127000412
Address ID
TX787358963AU5251X100X503

Contacts

Secure Messaging
kshoults588298@direct.sw.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

4,591 ANESTHESIOLOGY in TX

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Provider Addresses for KEVIN D. SHOULTS (M.D.)

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752844658

    Phone: (254) 724-2111

    Type: Mailing

  • Overpass Road, Buda, Hays County, Texas, 78610-3614, United States

    BUDA, TX 786102300

    Phone: (737) 999-6200

    Fax: (737) 999-6201

    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: 2019-11-27

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
I20191127000412IAnesthesiologyTXTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2221$0
00811Anesthesia for other procedure on large bowel using an endoscope1919$0
00790Anesthesia for other procedure on upper abdomen1212$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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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: 8123923604View full group profile
NameSpecialtyState
Radiation OncologyTX
U R O L O G YTX
General SurgeryOK
Certified Registered Nurse Anesthetist (Crna)TX
-TX
Anesthesiology AssistantTX
-TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX

Reviews

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Frequently asked questions

What identifier follows KEVIN D. SHOULTS (M.D.) across health systems?
The NPI 1568461226 uniquely identifies KEVIN D. SHOULTS (M.D.) in U.S. healthcare data.
Quick check: is KEVIN D. SHOULTS (M.D.) active?
Public NPPES data shows KEVIN D. SHOULTS (M.D.) with an active NPI status right now.
What type of care does KEVIN D. SHOULTS (M.D.) provide?
KEVIN D. SHOULTS (M.D.)'s profile centers on Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to KEVIN D. SHOULTS (M.D.)?
KEVIN D. SHOULTS (M.D.) shows a connection to Dallas, Texas in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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