Organization Active NPI

Shama P Quraishi MD PLLC

  • Family Medicine Physician
  • Beaumont, TX
National Provider Identifier
1013383827
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K1627 Issued in TX
Legal business name
SHAMA P QURAISHI MD PLLC
Practice address
2342 Dowlen Rd Ste 102
Beaumont, TX 77706-2537
Phone
(409) 832-7195
Fax
(409) 832-8199
NPI assigned
Aug 15, 2015
Last updated
Nov 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Authorized official

Name
Shama P Quraishi, M.D.NPI 1649262007
Title
Director
Phone
(409) 781-3698

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X K1627 TX Primary

Addresses

Primary practice location

2342 Dowlen Rd Ste 102
Beaumont, TX 77706-2537

Mailing address

5080 Oakmont Dr
Beaumont, TX 77706-7641
Phone (409) 832-7195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160620000079 TX Part B Supplier - Clinic/Group Practice 7315238516 Receives reassigned benefits from 1 practitioner
Practice locations: Beaumont, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0959671Shama Quraishi MD2342 Dowlen Rd, Suite 102, Beaumont, TX 77706Certificate of waiverDec 15, 2026

National Provider Directory

National Provider Directory

Locations

2342 Dowlen Rd
#102
Beaumont, TX 77706
Phone (409) 832-7195

2342 Dowlen Rd
Ste 102
Beaumont, TX 77706
Phone (409) 781-3698

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1439596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1013383827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 OAKMONT DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067641",
            "telephone_number": "409-832-7195",
            "fax_number": "409-832-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2342 DOWLEN RD STE 102",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777062537",
            "telephone_number": "409-832-7195",
            "fax_number": "409-832-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMA P QURAISHI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-15",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "QURAISHI",
        "authorized_official_first_name": "SHAMA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "409-781-3698",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K1627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.