Individual provider Active NPI

Farah Shah, MD

  • Dermatology Physician
  • Houston, TX
National Provider Identifier
1164533378
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
H7652 Issued in TX
Practice address
6560 Fannin St Ste 1720
Houston, TX 77030-2735
Phone
(713) 790-0058
Fax
(713) 790-0410
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X H7652 TX Primary

Addresses

Primary practice location

6560 Fannin St Ste 1720
Houston, TX 77030-2735

Mailing address

6560 Fannin St Ste 1720
Houston, TX 77030-2735
Phone (713) 790-0058

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fshah@directaddress.net Health Information Exchange (HIE)

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
I20050715000844 TX Practitioner - Dermatology 2062448467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical School at Houston, 1989
Medicare assignment
May accept Medicare assignment
Group practices
Houston Dermatology Associates PAGroup PAC ID 5890721294, 4 clinicians

Practice addresses (Care Compare)

6560 Fannin St
Suite 1720
Houston, TX 77030-2735
Phone (713) 790-0058

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision64
Removal of tissue1-10
Removal of skin lesions535
Removal or shaving of skin growth54
Skin biopsy298

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Dermatology Associates PA Dermatology CurrentSince Aug 31, 1999 Accepting new patients

Locations

6560 Fannin St
Ste 1720
Houston, TX 77030
Phone (713) 790-0058

6560 Fannin St
Ste 724
Houston, TX 77030
Phone (713) 790-0058

Interoperability endpoints

  • Direct secure messaging: fshah26220@directhoustonmethodist.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1164533378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 1720",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302735",
            "telephone_number": "713-790-0058",
            "fax_number": "713-790-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 1720",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302735",
            "telephone_number": "713-790-0058",
            "fax_number": "713-790-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "FARAH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "H7652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fshah@directaddress.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6560 Fannin St Ste 1720",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770302735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.