Organization Active NPI

Bay Area Heart PLLC

  • Cardiovascular Disease Physician
  • Webster, TX
National Provider Identifier
1154742708
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
L4707 Issued in TX
Legal business name
BAY AREA HEART PLLC
Practice address
450 Blossom St
Suite D
Webster, TX 77598
Phone
(832) 905-5940
Fax
(832) 905-5941
NPI assigned
Dec 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Authorized official

Name
Rakesh Shah, MDNPI 1447292206
Title
Physician
Phone
(832) 905-5940

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X L4707 TX Primary

Addresses

Primary practice location

450 Blossom St
Suite D
Webster, TX 77598

Mailing address

450 Blossom St Ste D
Webster, TX 77598-4200
Phone (832) 905-5940

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140618001775 TX Part B Supplier - Clinic/Group Practice 1254555972 Receives reassigned benefits from 7 practitioners
Practice locations: Webster, TX

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CABFCA

Practitioners & affiliated clinicians

Practitioners 7

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": "1388275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1154742708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 BLOSSOM ST STE D",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984200",
            "telephone_number": "832-905-5940",
            "fax_number": "832-905-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 BLOSSOM ST",
            "address_2": "SUITE D",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "77598",
            "telephone_number": "832-905-5940",
            "fax_number": "832-905-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA HEART PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-29",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "832-905-5940",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L4707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.