Individual provider Active NPI

L. Reed Shirley, MD

  • Allergy & Immunology Physician
  • Sugar Land, TX
National Provider Identifier
1114920063
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
H9421 Issued in TX
Practice address
15400 Southwest Fwy Ste 125
Sugar Land, TX 77478-3879
Phone
(281) 242-0131
Fax
(281) 242-7402
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X H9421 TX Primary

Addresses

Primary practice location

15400 Southwest Fwy Ste 125
Sugar Land, TX 77478-3879

Mailing address

12606 W Houston Center Blvd Ste 260
Houston, TX 77082-2790
Phone (713) 596-8526

Other identifiers 1

IdentifierTypeStateIssuer
102567802MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H9421TXMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Asthma & Allergy Associates PastSince Jul 5, 1991 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1114920063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12606 W HOUSTON CENTER BLVD STE 260",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822790",
            "telephone_number": "713-596-8526",
            "fax_number": "713-596-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 SOUTHWEST FWY STE 125",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783879",
            "telephone_number": "281-242-0131",
            "fax_number": "281-242-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRLEY",
        "first_name": "L. REED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "H9421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102567802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.