Active NPI
Shamim Ali, M.D.
- Family Medicine Physician
- Katy, TX
National Provider Identifier
1003816315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L7642
- Practice address
- 707 S Fry Rd
Suite 360
Katy, TX 77450-2256 - Phone
- (281) 599-9979
- Fax
- (281) 599-3540
- NPI assigned
- Jul 28, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L7642 | TX | Primary |
Addresses
Primary practice location
707 S Fry Rd
Suite 360
Katy, TX 77450-2256
Mailing address
707 S Fry Rd
Suite 360
Katy, TX 77450-2256
Phone (281) 599-9979
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7142667 | Other | TX | AETNA |
| 22369 | Other | TX | MEMORIAL HERMANN HEALTHCARE |
| 170793701 | Medicaid | TX | |
| 8R6350 | Other | TX | BCBS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040623000320 | TX | Practitioner - Family Practice | 1153306113 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katy Medics PLLC | Past | Accepting new patients | |
| Cenla Chiropractic & Wellness | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Katy, TX
- NPI 1982362059
-
- Chiropractor
- Pineville, LA
- NPI 1356533251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210291200000",
"number": "1003816315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 S FRY RD",
"address_2": "SUITE 360",
"city": "KATY",
"state": "TX",
"postal_code": "774502256",
"telephone_number": "281-599-9979",
"fax_number": "281-599-3540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 S FRY RD",
"address_2": "SUITE 360",
"city": "KATY",
"state": "TX",
"postal_code": "774502256",
"telephone_number": "281-599-9979",
"fax_number": "281-599-3540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "SHAMIM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-28",
"last_updated": "2008-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "L7642",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7142667",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEMORIAL HERMANN HEALTHCARE",
"identifier": "22369",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "170793701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8R6350",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.