P Praxis·MD
● Active Type 1 · Individual

DR. Charles A. Shoultz III, M.D.

Internal Medicine·Waco, TX· NPI 1780680496 · Enumerated 2005 · 20 years on NPI
Shoultz is 1 of 16 internal medicine providers in Waco and 1 of 883 in Texas.
NPI age
20 years
Enumerated 2005-06-27
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-11-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 883 active internal medicine providers in Texas.

NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
21% of peers hold multiple states
Subspecialties
1
In the 72% of peers with subspecialties

NPI lifetime · 2005 → 2026

2005-06Enumerated in NPPES
2005 2026

Where they practice

Practice location
7125 New Sanger Ave Ste A
Waco, TX 767124054
📞 2543995400fax 2547728669
Mailing address
Po Box 21327
Waco, TX 767021327
📞 2543995400fax 2547728669

Specialties

  • Internal Medicine Primary
    An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical...
    TX license #J6243 taxonomy 207RI0011X
  • Internal Medicine
    An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
    TX license #J6243 taxonomy 207RC0000X

Identifiers

TypeValueNotes
01 (TX) 100345101 FIRSTCARE
01 (TX) 1221938 FIRSTHEALTH
01 (TX) 142799902 UNITED HEALTHCARE
05 (TX) 117613302
01 (TX) 90032 SWHP
01 (TX) 74178408876712A004 TRICARE
05 (TX) 117613301
01 (TX) 4559831 AETNA
01 (TX) 83W040 BLUE CROSS

Practice context

Part of a multi-provider practice. 19 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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