Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kenneth Mark Shaffer, MD

Individual provider Pediatric Cardiology Physician · NPI 1922062652

Dr. Kenneth Mark Shaffer, MD is a Cardiovascular Disease (Cardiology) in Austin, Texas. Graduated from Johns Hopkins University School of Medicine in 1990, 36 years ago. Practices with Dell Childrens Medical Group, a 115-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
36
Trained at
Johns Hopkins University School of Medicine
Licensed in
TX
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4314 Medical Pkwy Ste 200
Austin, TX 78756-3334
Phone: (512) 454-1110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X · Licence J2908 (TX)

Record details

NPI number1922062652
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2006
Last updated in NPPESJuly 9, 2007
Mailing address4314 Medical Pkwy Ste 200, Austin, TX 78756-3332

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesPEDIATRIC MEDICINE
Medical schoolJOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Dell Childrens Medical Group — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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