NPIMap

Individual provider Active NPI

Shahin Shirzadi, M.D.

  • Neurology Physician
  • Houston, TX
National Provider Identifier
1013910876
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
K2176 Issued in TX
Practice address
7500 Beechnut St
Ste 135
Houston, TX 77074-4335
Phone
(713) 777-4122
Fax
(713) 270-7533
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X K2176 TX Primary

Addresses

Primary practice location

7500 Beechnut St
Ste 135
Houston, TX 77074-4335

Mailing address

7500 Beechnut St
Ste 135
Houston, TX 77074-4335
Phone (713) 777-4122

Other identifiers 1

IdentifierTypeStateIssuer
045475301MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110324000552 TX Practitioner - Neurology 9133125321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Texas Tech University Health Science Center School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7500 Beechnut St
Houston, TX 77074-4306
Phone (713) 777-4122

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Neurology Associates Neurology CurrentSince Jan 1, 2000 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Anesthesia Premier Services PA PastSince Apr 19, 2013 Accepting new patients

Locations

7500 Beechnut St
Ste 135
Houston, TX 77074
Phone (713) 777-4122

Networks

  • TX HMO

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEBBBA/Endpoint/FEBBBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/FEBBBA

Organizations & group practices 3

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.

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1013910876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 BEECHNUT ST",
            "address_2": "STE 135",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770744335",
            "telephone_number": "713-777-4122",
            "fax_number": "713-270-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 BEECHNUT ST",
            "address_2": "STE 135",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770744335",
            "telephone_number": "713-777-4122",
            "fax_number": "713-270-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRZADI",
        "first_name": "SHAHIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "K2176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045475301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.