Individual provider Active NPI

John William Shuck, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Houston, TX
National Provider Identifier
1154610442
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
R1878 Issued in TX
Practice address
13300 Hargrave Rd Ste 450
Houston, TX 77070
Phone
(281) 737-4560
NPI assigned
Apr 7, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Plastic and Reconstructive Surgery Physician 2086S0122X R1878 TX Primary

Addresses

Primary practice location

13300 Hargrave Rd Ste 450
Houston, TX 77070

Mailing address

13300 Hargrave Rd Ste 450
Houston, TX 77070-4550
Phone (281) 737-4560

Other practice location 1

1220 Holcombe Blvd Unit 1258
Houston, TX 77030-4004
Phone (713) 794-1247

Other practice location 2

1220 Holcombe Blvd Unit 1258
Houston, TX 77030-4004
Phone (713) 794-1247

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170516001958 TX Practitioner - Plastic and Reconstructive Surgery 7012284300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Warren Alpert Medical School of Brown University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Referral ServiceGroup PAC ID 7911801410, 2,728 clinicians

Practice addresses (Care Compare)

1515 Holcombe Blvd
Houston, TX 77030-4000
Phone (713) 792-6127

Hospital & facility affiliations

  • University of Texas M D Anderson Cancer Center Hospital, Houston, TX, CCN 450076

Merit-based Incentive Payment System (MIPS)

Final score
84.29 of 100Reported as group
Quality
70.82
Promoting interoperability
100
Improvement activities
40
Cost
67.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Mastectomy19
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R1878TXMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physicians and Surgeons, PLLC Plastic and Reconstructive Surgery CurrentSince Aug 6, 2018 Accepting new patients
Physicians Referral Service CurrentSince Jul 3, 2017 Accepting new patients
TMH Physician Associates PLLC Past Accepting new patients
TMH Physician Associates PLLC PastSince Nov 1, 2016 Accepting new patients

Locations

13300 Hargrave Rd
Ste 450
Houston, TX 77070
Phone (281) 737-4560

6560 Fannin St
Ste 2200
Houston, TX 77030
Phone (713) 441-6106

6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633

1515 Holcombe Blvd
#M
Houston, TX 77030
Phone (713) 792-6127

1515 Holcombe Blvd
#R4212
Houston, TX 77030
Phone (713) 794-5446

1220 Holcombe Blvd
Unit 1258
Houston, TX 77030
Phone (713) 563-8500

1515 Holcombe Blvd
Houston, TX 77030
Phone (713) 794-5446

16605 Southwest Fwy
Ste 450
Sugar Land, TX 77479
Phone (281) 275-0830

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1154610442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13300 HARGRAVE RD STE 450",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704550",
            "telephone_number": "281-737-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13300 HARGRAVE RD STE 450",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77070",
            "telephone_number": "281-737-4560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 Holcombe Blvd Unit 1258",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770304004",
            "country_code": "US",
            "telephone_number": "713-794-1247",
            "fax_number": "713-794-5492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1220 Holcombe Blvd Unit 1258",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770304004",
            "country_code": "US",
            "telephone_number": "713-794-1247",
            "fax_number": "713-794-5492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUCK",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-07",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "R1878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.