Individual provider Active NPI

Shaojie Han, M.D.

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1073811832
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
Q8071 Issued in TX
Practice address
4888 Loop Central Dr
Ste 510
Houston, TX 77081-2226
Phone
(713) 346-1551
Fax
(713) 346-1557
NPI assigned
Mar 3, 2011
Last updated
Oct 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 60 279862 NY
Psychiatry Physician 2084P0800X Q8071 TX Primary

Addresses

Primary practice location

4888 Loop Central Dr
Ste 510
Houston, TX 77081-2226

Mailing address

4888 Loop Central Dr
Ste 510
Houston, TX 77081-2226
Phone (917) 573-2283

Other practice location 1

1300 Morris Park Ave
Belfer 403, Department of Psychiatry
Bronx, NY 10461-1900
Phone (718) 430-3080

Other identifiers 1

IdentifierTypeStateIssuer
358546501MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160616001409 TX Practitioner - Psychiatry 0446541759 Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4888 Loop Central Dr
Suite 510
Houston, TX 77081-2226
Phone (713) 346-1551

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60 279862NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Houston Psychiatric Associates, PLLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1073811832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4888 LOOP CENTRAL DR",
            "address_2": "STE 510",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770812226",
            "telephone_number": "917-573-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4888 LOOP CENTRAL DR",
            "address_2": "STE 510",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770812226",
            "telephone_number": "713-346-1551",
            "fax_number": "713-346-1557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Morris Park Ave",
            "address_2": "Belfer 403, Department of Psychiatry",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104611900",
            "country_code": "US",
            "telephone_number": "718-430-3080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAN",
        "first_name": "SHAOJIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-03",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "60 279862",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "Q8071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "358546501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.