DR. JONATHAN SHUMWAY (DO) – Family Medicine Physician, NPI 1982108650

DR. JONATHAN SHUMWAY (DO) is a healthcare provider. based in Fort worth, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 12244727-1204 (UT). The NPI Number for DR. JONATHAN SHUMWAY (DO) is 1982108650

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. JONATHAN SHUMWAY (DO)
NPI
1982108650
Phone
(817) 702-1173
Address
1500 S MAIN ST
Enumeration Date
19 March 2018
Last Update Date
29 June 2021

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
8014298000
Graduation Year
2018 (8 years ago)
PAC ID
3072916626
Group Practice PAC ID
7517868508
Professional Enrollment ID
I20210720004076
Address ID
UT846043305PR1055X500X300
Telehealth
Yes

Contacts

Secure Messaging
credentialing@reverehealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

8,705 FAMILY PRACTICE in TX

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Provider Addresses for DR. JONATHAN SHUMWAY (DO)

  • John Peter Smith Hospital, 1500, South Main Street, Fort Worth, Tarrant County, Texas, 76104, United States

    FORT WORTH, TX 761044941

    Phone: (817) 702-1173

    Type: Mailing

  • 1500 S Main St

    Fort Worth, TX 761044941

    Phone: (817) 702-1173

    Type: Location

  • 1055 N 500 W

    ATTN CREDENTIALING

    PROVO, UT 84604

    Phone: (801) 354-8225

    Fax: (801) 418-0941

    Type: Mailing

  • 555 W SR 164

    SALEM, UT 84653

    Phone: (801) 465-4896

    Fax: (801) 465-3267

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 284 Open Payments records for all available years, with a total value of $3,650.

Total Amount is formed as General ($3,650) + Research ($0) + Ownership ($0) = $3,650.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($833).

Total Amount

$3,650

General + Research + Ownership

Payments

284

Total payment records

General Amount

$3,650

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2021-07-20

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
I20210720004076IFamily PracticeUTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes283138$0
36415Insertion of needle into vein for collection of blood sample214139$0
80053Blood test, comprehensive group of blood chemicals165132$0
81003Automated urinalysis test157134$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count141129$0
View full utilization report →

Insurance plans in this area (ZIP 76104)

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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: 7517868508View full group profile

Reviews

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Frequently asked questions

Is there an official ID for DR. JONATHAN SHUMWAY (DO) in U.S. healthcare records?
The official identifier for DR. JONATHAN SHUMWAY (DO) is NPI 1982108650.
Is there an active status for DR. JONATHAN SHUMWAY (DO)?
For scheduling context, DR. JONATHAN SHUMWAY (DO) is shown as active in the registry.
What clinical focus is listed for DR. JONATHAN SHUMWAY (DO)?
At a glance, DR. JONATHAN SHUMWAY (DO) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JONATHAN SHUMWAY (DO)?
Directory geography for DR. JONATHAN SHUMWAY (DO) centers on Fort Worth, Texas.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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