Individual provider Active NPI

Shamim Ali, M.D.

  • Family Medicine Physician
  • Katy, TX
National Provider Identifier
1003816315
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L7642 Issued in TX
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

Updated by the provider on May 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7142667OtherTXAETNA
22369OtherTXMEMORIAL HERMANN HEALTHCARE
170793701MedicaidTX
8R6350OtherTXBCBS

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
I20040623000320 TX Practitioner - Family Practice 1153306113

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Katy Medics PLLC PastSince Jan 15, 2023 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.

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

Verify at the official NPI Registry.