Manan S. Shukla, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

N9300 Issued in TX

Practice address

450 W Medical Center Blvd
Suite 203
Webster, TX 77598-4234

Phone

(832) 906-2500

Fax

(832) 906-2501

NPI assigned

Mar 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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

Specialty

Internal MedicineAlso: Neurology

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617
• Pam Rehabilitation Hospital of Clear Lake Inpatient rehabilitation facility, Webster, TX, CCN 673061

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AFBJAD/Endpoint/AFBJAD
• Direct secure messaging: mshukla79021@directhoustonmethodist.org

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.

• Vasu Medical PLLC

  • Clinic/Center
  • Webster, TX
  • NPI 1225562887
  Medicare reassignment NPD Authorized official
• Sciometrix Inc

  • General Practice Physician
  • Staten Island, NY
  • NPI 1457065591

  TX

  Medicare reassignment NPD
• Banner Sun City Medical Group

  • Multi-Specialty Clinic/Center
  • Sun City, AZ
  • NPI 1902067200
  NPD (past)
• Sutter North Medical Foundation

  • Ambulatory Surgical Clinic/Center
  • Yuba City, CA
  • NPI 1144251521
  NPD (past)

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

• Chca Clear Lake LP

  • General Acute Care Hospital
  • Webster, TX
  • NPI 1063466035
  Care Compare affiliation
• Clear Lake Institute for Rehabilitation LLC

  • Rehabilitation Hospital
  • Webster, TX
  • NPI 1861882532

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1194794610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W MEDICAL CENTER BLVD",
            "address_2": "SUITE 203",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984234",
            "telephone_number": "832-906-2500",
            "fax_number": "832-906-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W MEDICAL CENTER BLVD",
            "address_2": "SUITE 203",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984234",
            "telephone_number": "832-906-2500",
            "fax_number": "832-906-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUKLA",
        "first_name": "MANAN",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036091485",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "43570",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N9300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036091485",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403226800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shooting Star Inpatient Services PLLC
• Chelsea Marie Shorey
• Joseph Scott Shotwell, M.D.
• Saif Musa Shteiwi, M.D.
• Yevgeny Shuhatovich, D.O.
• Maxim E Shuman, MD
• Zohra F Siddiqi, DO
• Juliana Tarinne Siders, OTR
• Candace P Siegel, MD
• Michael Sheldon Sieling, MD

• Internal Medicine Physician in Webster, TX
• Providers in Webster, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.