Organization Active NPI

Cyfair Heart and Vascular Center PA

  • Medical Specialty Clinic/Center
  • Houston, TX
National Provider Identifier
1093901977
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
800867020 Issued in TX
Legal business name
CYFAIR HEART AND VASCULAR CENTER PA
Practice address
11307 FM 1960 Rd W
Suite 125
Houston, TX 77065-3687
Phone
(281) 894-4327
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Authorized official

Name
Dr. Chaitanya Bhupendra Shah, MDNPI 1952391161
Title
Medical Director
Phone
(281) 894-4327

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 800867020 TX Primary

Addresses

Primary practice location

11307 FM 1960 Rd W
Suite 125
Houston, TX 77065-3687

Mailing address

11307 FM 1960 Rd W
Suite 125
Houston, TX 77065-3687
Phone (281) 894-4327

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CyfairHeartandVascularCenter.ChaitanyaBShah@123723.advancedmd-direct.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080428000060 TX Part B Supplier - Clinic/Group Practice 8022196369 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1095774Cyfair Heart & Vascular Center11307 FM 1960 Rd West, Houston, TX 77065Certificate of waiverFeb 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
Cyfair Heart and Vascular Center PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11307 FM 1960 Rd W
Ste 125
Houston, TX 77065
Phone (281) 894-4327

11302 Fallbrook Dr
Ste 302
Houston, TX 77065
Phone (281) 955-5500

Interoperability endpoints

  • Direct secure messaging: cyfairheartandvascularcenter.chaitanyabshah@123723.advancedmd-direct.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1093901977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11307 FM 1960 RD W",
            "address_2": "SUITE 125",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653687",
            "telephone_number": "281-894-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11307 FM 1960 RD W",
            "address_2": "SUITE 125",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653687",
            "telephone_number": "281-894-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYFAIR HEART AND VASCULAR CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "CHAITANYA",
        "authorized_official_middle_name": "BHUPENDRA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "281-894-4327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "800867020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CyfairHeartandVascularCenter.ChaitanyaBShah@123723.advancedmd-direct.com",
            "affiliation": "N",
            "address_1": "11307 Fm 1960 Rd W",
            "address_2": "Suite 125",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770653687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.