Shannon Kluppel MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SHANNON KLUPPEL MD

Practice address

1000 E James St
Baytown, TX 77520-5820

Phone

(281) 422-5437

Fax

(281) 427-4050

NPI assigned

Mar 17, 2020

Last updated

Mar 17, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shannon Kluppel, MDNPI 1417062639

Title

Owner

Phone

(281) 422-5437

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: drshannonkluppel@skmp-tx.direct.office.nextgen.com

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.

• Shannon Eugene Keith Kluppel, MD

  • Pediatrics Physician
  • Baytown, TX
  • NPI 1417062639
  NPD (past) Authorized official
• Regina Kay Pickering, APRN, FNP-C

  • Family Nurse Practitioner
  • Baytown, TX
  • NPI 1558909739
  NPD

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1073149480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E JAMES ST",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775205820",
            "telephone_number": "281-422-5437",
            "fax_number": "281-427-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E JAMES ST",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775205820",
            "telephone_number": "281-422-5437",
            "fax_number": "281-427-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON KLUPPEL MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "KLUPPEL",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-422-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114427204",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DrShannonKluppel@SKMP-TX.direct.office.nextgen.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1000 E James St",
            "city": "Baytown",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775205820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Arpita V Shah, M.D.
• Minal Pradip Shah, ABOC
• Aryadev Mayamayooram Shahi
• Sharmi Shahi
• Manish Shanker, DDS
• Shariq J Rauf MD PA
• Arun Sharma, MD
• Kiran Sharma, MD
• Medha Sharma, DO
• David Clayton Shaw, COTA

• Pediatrics Physician in Baytown, TX
• Providers in Baytown, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.