Individual provider Active NPI

Komal Bankim Shah, M.D.

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1083621577
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M6385 Issued in TX
Practice address
1515 Holcombe Blvd
Houston, TX 77030-4095
Phone
(713) 792-6161
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X M6385 TX Primary

Addresses

Primary practice location

1515 Holcombe Blvd
Houston, TX 77030-4095

Mailing address

PO Box 4439
Houston, TX 77210-4439
Phone (713) 792-2991

Other identifiers 1

IdentifierTypeStateIssuer
182766901MedicaidTX

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
I20061209000099 TX Practitioner - Diagnostic Radiology 8224037874 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Baylor College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Referral ServiceGroup PAC ID 7911801410, 2,728 clinicians

Practice addresses (Care Compare)

100 Fellowship Dr
Conroe, TX 77384-4797
Phone (713) 563-0050

13900 Katy Fwy
Houston, TX 77079-1012
Phone (713) 563-9600

2130 W Holcombe Blvd
Univ of TX M D Ande Life Sciences Plaza
Houston, TX 77030-4009
Phone (713) 592-5433

2240 Gulf Fwy S
Utmb Health League City Hospital
League City, TX 77573-5143
Phone (409) 772-1011

2280 Gulf Fwy S
League City, TX 77573-5143
Phone (713) 563-0670

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.29 of 100Reported as group
Quality
70.82
Promoting interoperability
100
Improvement activities
40
Cost
67.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M6385TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Health Science Center at San Antonio Diagnostic Radiology CurrentSince Jun 2, 2025 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Jun 2, 2025 Accepting new patients
University of Texas Health Science Center at San Antonio Diagnostic Radiology Current Accepting new patients
Physicians Referral Service CurrentSince Aug 28, 2006 Accepting new patients
University of Texas Health Science Center at San Antonio Past Accepting new patients

Locations

25723 Old Fredericksburg Rd
Boerne, TX 78015
Phone (210) 450-6800

1515 Holcombe Blvd
#R4212
Houston, TX 77030
Phone (713) 794-5446

1515 Holcombe Blvd
Houston, TX 77030
Phone (713) 794-5446

8300 Floyd Curl Dr
Fl 3
San Antonio, TX 78229
Phone (210) 450-9300

4940 Charles Katz
San Antonio, TX 78229
Phone (210) 450-9700

8311 Ewing Halsell Dr
Fl 1
San Antonio, TX 78229

8403 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 567-8600

4306 De Zavala Rd
Bldg 1
San Antonio, TX 78249
Phone (210) 450-6720

7946 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 567-9040

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

7979 Wurzbach Rd
San Antonio, TX 78229
Phone (210) 450-1000

8300 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-9300

7946 N Loop 1604 W
Fl 1
San Antonio, TX 78249
Phone (210) 450-6470

Organizations & group practices 5

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 1

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1083621577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4439",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104439",
            "telephone_number": "713-792-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 HOLCOMBE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304095",
            "telephone_number": "713-792-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KOMAL",
        "middle_name": "BANKIM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "M6385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182766901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.