Active NPI
Indu Ramesh Shah, MD
- Hospice and Palliative Medicine (Family Medicine) Physician
- Houston, TX
National Provider Identifier
1124246491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- J5013
- Practice address
- 1200 Enclave Pkwy Ste 200
Houston, TX 77077-1733 - Phone
- (281) 870-1000
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | J5013 | TX | Primary |
Addresses
Primary practice location
1200 Enclave Pkwy Ste 200
Houston, TX 77077-1733
Mailing address
2831 Peninsula Drive
Missouri City, TX 77459
Phone (281) 870-1000
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J5013 | TX | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124246491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2831 PENINSULA DRIVE",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "77459",
"telephone_number": "281-870-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 ENCLAVE PKWY STE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770771733",
"telephone_number": "281-870-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "INDU",
"middle_name": "RAMESH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "TX",
"license": "J5013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.