Individual provider Active NPI

Shamaelah Javed

  • Neurology Physician
  • Johnson City, NY
National Provider Identifier
1164730206
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
S3200 Issued in TX
Practice address
507 Main St
Johnson City, NY 13790-1810
Phone
(607) 763-8008
NPI assigned
Sep 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X S3200 TX Primary
Neurology Physician 2084N0400X 284763 NY
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

507 Main St
Johnson City, NY 13790-1810

Mailing address

9180 Pinecroft Dr Ste 500
Shenandoah, TX 77380-3883
Phone (713) 897-5900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SHAMAELAH.JAVED@hca9.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX, IA, AL, MN, LA, OK, KS, WI, SD10 enrollments
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 10

Enrollment IDStateProvider typePAC IDDetails
I20160912002396 NY Practitioner - Neuropsychiatry 6002102324 Reassigns benefits to 2 organizations
I20191111000469 TX Practitioner - Neurology 6002102324 Reassigns benefits to 2 organizations
I20260324003302 IA Practitioner - Neurology 6002102324 Reassigns benefits to 1 organization
I20260325002354 AL Practitioner - Neurology 6002102324 Reassigns benefits to 1 organization
I20260327001680 MN Practitioner - Neurology 6002102324 Reassigns benefits to 1 organization
I20260329000029 LA Practitioner - Neurology 6002102324 Reassigns benefits to 1 organization
I20260329000048 OK Practitioner - Neurology 6002102324 Reassigns benefits to 1 organization
I20260521000495 KS Practitioner - Neurology 6002102324 Reassigns benefits to 1 organization
I20260602001784 WI Practitioner - Neurology 6002102324 Reassigns benefits to 1 organization
I20260622002374 SD Practitioner - Neurology 6002102324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuro-Hospitalist of Clear Lake, PLLCGroup PAC ID 8527243682, 20 clinicians

Practice addresses (Care Compare)

710 Cypress Creek Pkwy
Houston, TX 77090-3402
Phone (281) 440-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S3200TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MHS Physicians of Texas Neurology CurrentSince Jan 24, 2022 Accepting new patients
MVHS Inc CurrentSince Oct 15, 2018 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Jul 4, 2016 Accepting new patients
Neuro-Hospitalist of Clear Lake, PLLC Neurology CurrentSince Oct 1, 2019 Accepting new patients
MHS Physicians of Texas CurrentSince Jan 24, 2022 Accepting new patients
Memorial Hermann Neighborhood Health Centers, PLLC Neurology Current Accepting new patients
MVHS Inc CurrentSince Oct 15, 2018 Accepting new patients
United Medical Associates PC Past Accepting new patients

Locations

33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156

30 Harrison St
Ste 460
Johnson City, NY 13790
Phone (607) 763-8101

507 Main St
Johnson City, NY 13790
Phone (607) 763-6075

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

2209 Genesee St
Ofc
Utica, NY 13501
Phone (315) 801-3282

710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000

800 Peakwood Dr
Ste 5D
Houston, TX 77090
Phone (281) 440-3618

909 Frostwood Dr
Ste 1100
Houston, TX 77024
Phone (713) 338-4523

18955 N Memorial Dr
Ste 360
Humble, TX 77338
Phone (281) 319-8530

10905 Memorial Hermann Dr
Ste 111
Pearland, TX 77584
Phone (281) 929-4727

9180 Pinecroft Dr
Ste 500
Shenandoah, TX 77380
Phone (713) 897-5900

17510 W Grand Pkwy S
Ste 330
Sugar Land, TX 77479
Phone (281) 238-3770

450 W Medical Center Blvd
Ste 600
Webster, TX 77598
Phone (281) 338-3270

500 W Medical Center Blvd
#C
Webster, TX 77598

Interoperability endpoints

  • Direct secure messaging: sjaved16850@mvhealthsystem.direct-ci.com
  • Direct secure messaging: shamaelah.javed@hca9.eclinicaldirectplus.com

Organizations & group practices 10

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 2

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": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1164730206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9180 PINECROFT DR STE 500",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803883",
            "telephone_number": "713-897-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 MAIN ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901810",
            "telephone_number": "607-763-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVED",
        "first_name": "SHAMAELAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-23",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "S3200",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "284763",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SHAMAELAH.JAVED@hca9.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "507 Main St",
            "city": "Johnson City",
            "state": "NY",
            "country_code": "US",
            "postal_code": "137901810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Johnson City, NY

Sources for this page

Verify at the official NPI Registry.