Organization Active NPI

Anjana N. Shah, M.D. P.a.

  • Internal Medicine Physician
  • Spring, TX
National Provider Identifier
1144401381
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ANJANA N. SHAH, M.D. P.A.
Practice address
5501 Louetta Rd
#D
Spring, TX 77379-7868
Phone
(281) 866-9187
Fax
(281) 893-3154
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Dr. Anjana N Shah, M.D.NPI 1508893942
Title
President
Phone
(281) 866-9187

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5501 Louetta Rd
#D
Spring, TX 77379-7868

Mailing address

PO Box 90430
Houston, TX 77290-0430
Phone (281) 866-9187

Other identifiers 1

IdentifierTypeStateIssuer
136553807MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041204000072 TX Part B Supplier - Clinic/Group Practice 3072579770 Receives reassigned benefits from 2 practitioners
Practice locations: Spring, TX

National Provider Directory

National Provider Directory

Locations

17202 Red Oak Dr
Ste 202
Houston, TX 77090
Phone (281) 866-9187

5501 Louetta Rd
Ste D
Spring, TX 77379
Phone (281) 257-2020

Practitioners & affiliated clinicians

Practitioners 2

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": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1144401381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90430",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772900430",
            "telephone_number": "281-866-9187",
            "fax_number": "281-893-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 LOUETTA RD",
            "address_2": "#D",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797868",
            "telephone_number": "281-866-9187",
            "fax_number": "281-893-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANJANA N. SHAH, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "ANJANA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-866-9187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136553807",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.