NPIMap

Individual provider Active NPI

Gary J Sheppard

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1174502702
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J2326 Issued in TX
Practice address
7777 Southwest Fwy
Suite 620
Houston, TX 77074-1802
Phone
(713) 777-3000
Fax
(713) 774-2209
NPI assigned
Jan 12, 2006
Last updated
Jan 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J2326 TX Primary

Addresses

Primary practice location

7777 Southwest Fwy
Suite 620
Houston, TX 77074-1802

Mailing address

7777 Southwest Fwy
Suite 620
Houston, TX 77074-1802
Phone (713) 777-3000

Other identifiers 2

IdentifierTypeStateIssuer
110191055OtherTXRAILROAD MEDICARE NUMBER
104556902MedicaidTX

Other names 1

  • Gary Sheppard Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100920000904 TX Practitioner - Internal Medicine 8224185376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at Houston, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Memorial Physician Associates, PAGroup PAC ID 6406903558, 2 clinicians

Practice addresses (Care Compare)

7777 Southwest Fwy
Suite 620
Houston, TX 77074-1809
Phone (713) 777-3000

Hospital & facility affiliations

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: gsheppard66783@memorialhermann.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Memorial Hermann Katy HospitalKaty, TX, CCN 450847 Hospital Other Jan 1, 2025
Memorial Hermann Northeast HospitalHumble, TX, CCN 450684 Hospital Other Jan 1, 2023
Memorial Hermann Memorial City Medical CenterHouston, TX, CCN 450610 Hospital Corporate Director Feb 8, 2022
Memorial Hermann Texas Medical CenterHouston, TX, CCN 450068 Hospital Corporate Director Feb 8, 2022
Memorial Hermann Texas Medical Center Rehabilitation UnitHouston, TX, CCN 45T068 Hospital Other Jan 1, 2025
Memorial Hermann Hospital SystemHouston, TX, CCN 450184 Hospital Corporate Director Feb 8, 2022
Memorial Hermann Hospital System Rehabilitation UnitHouston, TX, CCN 45T184 Hospital Other Jan 1, 2022

Owned or controlled facilities with NPI records 20

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 20

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1174502702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 SOUTHWEST FWY",
            "address_2": "SUITE 620",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741802",
            "telephone_number": "713-777-3000",
            "fax_number": "713-774-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 SOUTHWEST FWY",
            "address_2": "SUITE 620",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741802",
            "telephone_number": "713-777-3000",
            "fax_number": "713-774-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "GARY",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J2326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "110191055",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104556902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GARY",
            "last_name": "SHEPPARD",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.