Alexander V Shestopalov, M.D.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

R5472 Issued in TX

Practice address

1050 Gemini St Ste 202
Houston, TX 77058-2706

Phone

(346) 800-1380

Fax

(346) 800-1388

NPI assigned

May 3, 2013

Last updated

Jul 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, AZ2 enrollments

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 2

Specialty

Interventional RadiologyAlso: Diagnostic Radiology

Education

University of Texas Medical Branch at Galveston, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Q-Health Partners PLLCGroup PAC ID 1153645155, 21 clinicians

Angelina Diagnostic Radiology AssociatesGroup PAC ID 1850380890, 71 clinicians

Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617
• Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
• Oakbend Medical Center Hospital, Richmond, TX, CCN 450330
• Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684
• The Hospitals of Providence - East Campus Hospital, El Paso, TX, CCN 670047

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 35)

Interoperability endpoints

• Direct secure messaging: alexander.shestopalov@7800659312644.direct.elationemr.com
• FHIR API: https://fhir4.healow.com/fhir/r4/EIBDCA

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

• Angelina Diagnostic Radiology Associates

  dba ADRA Medical Imaging

  • Diagnostic Radiology Physician
  • Lufkin, TX
  • NPI 1033175302

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Q-Health Partners, PLLC

  • Specialist
  • Houston, TX
  • NPI 1346647260

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Singleton Associates PA

  • Diagnostic Radiology Physician
  • Shenandoah, TX
  • NPI 1538107875

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Pulse Physician Organization PLLC

  • Cardiovascular Disease Physician
  • Huntsville, TX
  • NPI 1073087599

  Single Specialty

  Medicare reassignment NPD
• Utmb Faculty Group Practice

  • General Practice Physician
  • Galveston, TX
  • NPI 1942241146

  Single Specialty

  Medicare reassignment NPD
• Modern Vascular of Tucson, LLC

  • Vascular & Interventional Radiology Physician
  • Tucson, AZ
  • NPI 1255896544

  Single Specialty

  Medicare reassignment NPD
• Achy Legs Clinics LLC

  dba Center for Cardiovascular Excellence

  • Ambulatory Surgical Clinic/Center
  • Tomball, TX
  • NPI 1003478744
  NPD (past)
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)
• Pulse Healthcare System LLC

  • Cardiovascular Disease Physician
  • Tomball, TX
  • NPI 1609753763

  Single Specialty

  NPD (past)

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

• Chca Clear Lake LP

  dba HCA Houston Healthcare Clear Lake

  • General Acute Care Hospital
  • Webster, TX
  • NPI 1063466035
  Care Compare affiliation
• Memorial Hermann Health System

  dba MHHS NW Radiation Therapy

  • Radiology Clinic/Center
  • Houston, TX
  • NPI 1013948553

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  dba MHHS Woodlands Outpatient Imaging System

  • Radiology Clinic/Center
  • The Woodlands, TX
  • NPI 1275564858

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  dba Memorial Hermann Northeast

  • General Acute Care Hospital
  • Humble, TX
  • NPI 1295843787
  Care Compare affiliation
• Memorial Hermann Health System

  dba Memorial Hermann Outpatient Imaging-Southwest

  • Radiology Clinic/Center
  • Houston, TX
  • NPI 1407959448

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  dba MHHS Friendswood Imaging

  • Radiology Clinic/Center
  • Friendswood, TX
  • NPI 1508896267

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  dba MHHS Pearland Outpatient Imaging Center

  • Radiology Clinic/Center
  • Pearland, TX
  • NPI 1669402335

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1730132234
  Care Compare affiliation
• Oakbend Medical Center

  • General Acute Care Hospital
  • Richmond, TX
  • NPI 1700883196
  Care Compare affiliation
• Tenet Hospitals Limited

  dba The Hospitals of Providence East Campus

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1972709970
  Care Compare affiliation

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1053756098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 GEMINI ST STE 201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582706",
            "telephone_number": "346-800-1380",
            "fax_number": "346-800-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 GEMINI ST STE 202",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582706",
            "telephone_number": "346-800-1380",
            "fax_number": "346-800-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHESTOPALOV",
        "first_name": "ALEXANDER",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-03",
        "last_updated": "2023-07-11",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "R5472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zainab Sherwani
• Todd Sherwood, PTA
• Sheryl a Stewart Dental PLLC
• Ajay Sheshadri, MD
• Mona Sheshtawy, D.D.S
• Mohamed Ali Sheta, M.D.
• Aakash Sheth
• Anil U Sheth, M.D.
• Atur Tushar Sheth, M.D.
• Bina Sheth, SLP

• Vascular & Interventional Radiology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Vascular & Interventional Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.
• 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.