NPI age
17 years
Enumerated 2008-07-02
● Active
Type 1 · Individual
Shaun Patrick McKenzie, MD
McKenzie is 1 of 7 surgery providers in Austin and 1 of 223 in Texas.
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
TX, KY
2 states
Status
Active
No deactivations on record
Last NPPES update
2019-11-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 223 active surgery providers in Texas.
NPI age
17 years
≈ at median (18 yr)
State licenses
2 states
Top 67% — 32% of peers are multi-state
Subspecialties
0
61% of peers hold subspecialties
NPI lifetime · 2008 → 2026
2008-07Enumerated in NPPES
2008
2026
Where they practice
Practice location
4101 James Casey St Ste 100
Austin, TX 787451145
Mailing address
Po Box 911230
Dallas, TX 753911230
Specialties
-
Surgery PrimaryA surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 330383602 | |
| 05 (TX) | 330383603 | |
| 05 (TX) | 330383604 | |
| 05 (TX) | 330383605 | |
| 01 (TX) | P01867717 | RAILROAD |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.