Individual provider Active NPI

Rohan Samir Shah, M.D.

  • Vascular & Interventional Radiology Physician
  • Houston, TX
National Provider Identifier
1003101130
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
R3434 Issued in TX
Practice address
8305 Knight Rd
Houston, TX 77054-3905
Phone
(713) 790-1666
NPI assigned
Jun 16, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036.140201 IL
Vascular & Interventional Radiology Physician 2085R0204X 036.140201 IL
Internal Medicine Physician 207R00000X 125.059992 IL
Vascular & Interventional Radiology Physician 2085R0204X R3434 TX Primary

Addresses

Primary practice location

8305 Knight Rd
Houston, TX 77054-3905

Mailing address

8305 Knight Rd
Houston, TX 77054-3905
Phone (713) 790-1666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171219002855 TX Practitioner - Diagnostic Radiology 0941505416 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

Practice addresses (Care Compare)

11100 Shadow Creek Pkwy
Pearland, TX 77584-7285
Phone (713) 461-3573

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684
  • HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617
  • HCA Houston Healthcare Medical Center Hospital, Houston, TX, CCN 450659
  • Rice Medical Center Hospital, Eagle Lake, TX, CCN 451312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125.059992ILMDInternal Medicine Physician
036.140201ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Star MRI of Frisco LP CurrentSince Feb 12, 2019 Accepting new patients
North Star FP, LP CurrentSince Feb 1, 2019 Accepting new patients
North Star MRI LP CurrentSince Feb 2, 2019 Accepting new patients
Advanced Surgeons & Physicians Network, Inc. CurrentSince Oct 1, 2018 Accepting new patients
North Star GV, LP CurrentSince Feb 1, 2019 Accepting new patients
North Star CN, LP CurrentSince Feb 25, 2019 Accepting new patients
North Star MCD, LLC Current Accepting new patients
North Star MCD, LLC CurrentSince Feb 1, 2019 Accepting new patients
North Star FM, LP CurrentSince Feb 25, 2019 Accepting new patients
North Star Plano Parkway, LP CurrentSince Feb 2, 2019 Accepting new patients
North Star Diagnostic Imaging, LLC CurrentSince Feb 25, 2019 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
North Star MCD LLC CurrentSince Feb 1, 2019 Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients

Locations

997 Raintree Cir
Ste 110
Allen, TX 75013

4780 N Josey Ln
Carrollton, TX 75010
Phone (972) 395-2293

12230 Coit Rd
Ste 100
Dallas, TX 75251
Phone (214) 252-7020

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

8501 Wade Blvd
#220N
Frisco, TX 75034

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

8305 Knight Rd
Houston, TX 77054
Phone (713) 790-1666

4200 Twelve Oaks Dr
Houston, TX 77027
Phone (713) 621-5010

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

3700 W 15th St
Bldg D
Plano, TX 75075
Phone (972) 612-0523

4031 W Plano Pkwy
Ste 100
Plano, TX 75093
Phone (469) 326-8623

4140 E Renner Rd
Ste 100
Richardson, TX 75082
Phone (972) 920-0115

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ab4ef341-80b4-40a7-999d-52b52314ec6e/
  • FHIR API: https://api.platform.athenahealth.com/17497/brand/1/csg/1/fhir/r4

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1003101130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 KNIGHT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770543905",
            "telephone_number": "713-790-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8305 KNIGHT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770543905",
            "telephone_number": "713-790-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ROHAN",
        "middle_name": "SAMIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-16",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036.140201",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "036.140201",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.059992",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "R3434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.