Individual provider Active NPI

Shirley Chan-Ramirez, MD

  • Pediatrics Physician
  • Bellaire, TX
National Provider Identifier
1134423510
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
P0019 Issued in TX
Practice address
6300 W Loop S, Ste 290
Bellaire, TX 77401
Phone
(713) 322-6679
Fax
(832) 336-3796
NPI assigned
Dec 29, 2010
Last updated
Feb 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X P0019 TX Primary

Addresses

Primary practice location

6300 W Loop S, Ste 290
Bellaire, TX 77401

Mailing address

6300 W Loop S, Ste 290
Bellaire, TX 77401
Phone (713) 322-6679

Other names 1

  • Shirley Chan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 30, 2022 through Jan 30, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P0019TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blossom Pediatrics and Lactation, PLLC Pediatrics Current Accepting new patients
Pearland Pediatrics Pediatrics PastSince Sep 1, 2009 Accepting new patients
Pearland Pediatric Urgent Care PA Past Accepting new patients

Locations

6300 West Loop S
Ste 290
Bellaire, TX 77401
Phone (281) 760-4212

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1134423510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 W LOOP S, STE 290",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "77401",
            "telephone_number": "713-322-6679",
            "fax_number": "832-336-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 W LOOP S, STE 290",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "77401",
            "telephone_number": "713-322-6679",
            "fax_number": "832-336-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN-RAMIREZ",
        "first_name": "SHIRLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-29",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P0019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRLEY",
            "last_name": "CHAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.