Individual provider Active NPI

Susan Shuai-Chen Shi, M.D.

  • Obstetrics & Gynecology Physician
  • Houston, TX
National Provider Identifier
1083804165
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M6882 Issued in TX
Practice address
6560 Fannin St
Suite 1980
Houston, TX 77030-2761
Phone
(713) 335-0335
NPI assigned
Jul 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X M6882 TX Primary

Addresses

Primary practice location

6560 Fannin St
Suite 1980
Houston, TX 77030-2761

Mailing address

2001 Holcombe Blvd
#2302
Houston, TX 77030-4222
Phone (713) 797-1079

Other names 1

  • Shuai-Chen Susan Shi Former name

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
I20071126000524 TX Practitioner - Obstetrics/Gynecology 9638267750 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Children'S Physician Group CurrentSince Jul 1, 2010 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Nov 17, 2020 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Nov 17, 2020 Accepting new patients

Locations

12667 Bissonnet St
Houston, TX 77099
Phone (281) 498-6100

6560 Fannin St
Ste 1980
Houston, TX 77030
Phone (713) 335-0335

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

5420 Dashwood Dr
Ste 100
Houston, TX 77081
Phone (713) 486-2900

12345 Bissonnet St
Houston, TX 77099

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1083804165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 HOLCOMBE BLVD",
            "address_2": "#2302",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304222",
            "telephone_number": "713-797-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST",
            "address_2": "SUITE 1980",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302761",
            "telephone_number": "713-335-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHI",
        "first_name": "SUSAN",
        "middle_name": "SHUAI-CHEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M6882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHUAI-CHEN",
            "last_name": "SHI",
            "middle_name": "SUSAN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.