Shaheen Kavoussi, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

Q4439 Issued in TX

Practice address

6560 Fannin St Ste 1812
Houston, TX 77030-2775

Phone

(832) 306-3209

Fax

(832) 356-5462

NPI assigned

Mar 29, 2012

Last updated

Oct 27, 2022By 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 6

Addresses

Other identifiers 3

Electronic endpoints 1

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

Specialty

Ophthalmology

Education

Baylor College of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Victoria Eye Center PAGroup PAC ID 8921025016, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Houston Methodist Hospital Hospital, Houston, TX, CCN 450358

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score

93.36 of 100Reported as group

Quality

100

Improvement activities

40

Cost

77.88

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: shaheen.kavoussi@direct.victoriaeyecenter.nextgenshare.com
• Direct secure messaging: skavoussi@texasretina.intellechartdirect.net
• Direct secure messaging: skavoussi157555@directhoustonmethodist.org

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.

• Texas Retina Center, PLLC

  • Ophthalmologic Surgery Clinic/Center
  • Houston, TX
  • NPI 1265991855
  Medicare reassignment NPD Authorized official
• Victoria Eye Center PA

  dba Victoria Eye Center

  • Ophthalmology Physician
  • Victoria, TX
  • NPI 1548228364
  Medicare reassignment Care Compare group NPD
• Ut Physicians

  dba UT Physicians Neurosciences

  • Neurological Surgery Physician
  • Houston, TX
  • NPI 1265096317
  Medicare reassignment NPD
• Raj K. Singla M.D.P.a.

  dba Physicians Eye Center

  • Ophthalmology Physician
  • Port Arthur, TX
  • NPI 1003984873
  NPD
• Burt a Ginsburg MD PA

  • Specialist
  • Houston, TX
  • NPI 1326319518
  NPD (past)
• Clear Lake Eye Center LLP

  dba Berkeley Eye Center Clear Lake

  • Optometrist
  • Houston, TX
  • NPI 1255338612
  NPD (past)
• Covenant Medical Group

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1376598904
  NPD (past)
• Grace Clinic of Lubbock

  dba Grace Clinic

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1912953357
  NPD (past)
• Houston Center for Plastic Surgery PA

  • Medical Specialty Clinic/Center
  • Houston, TX
  • NPI 1114145505
  NPD (past)

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

• The Methodist Hospital

  dba Houston Methodist Hospital

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1548387418
  Care Compare affiliation

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1063788446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 DEL MONTE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770193517",
            "telephone_number": "713-725-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 1812",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302775",
            "telephone_number": "832-306-3209",
            "fax_number": "832-356-5462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5656 Kelley St",
            "address_2": "COS 101",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770261967",
            "country_code": "US",
            "telephone_number": "713-566-4646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAVOUSSI",
        "first_name": "SHAHEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-29",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10041058",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "292289-1",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01081778A",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A154904",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "Q4439",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": "Q4439",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "347100509",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "347100507",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "347100508",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shaheen.kavoussi@direct.berkeleyeye.com",
            "affiliation": "Y",
            "affiliationName": "Berkeley Eye Institute, PA",
            "address_1": "3100 Weslayan St",
            "address_2": "Ste 400",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770275752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Afshan Kaviani, DDS
• Kevin A Kaviani, DDS
• Ian Kavin, M.D.
• Kavita Shah Patel MD PLLC
• Arman Kavoussi
• Sunita H Kavrie, PH. D.
• Madhukar Kaw, M.D.
• Akemi L Kawaguchi, MD
• Ami Kawaguchi
• Yoko Kawai

• Ophthalmology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.