Individual provider Active NPI

Anand Gopal Shah, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • San Antonio, TX
National Provider Identifier
1205903077
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
M8988 Issued in TX
Practice address
18838 Stone Oak Pkwy
Suite 104
San Antonio, TX 78258-4179
Phone
(210) 833-7972
Fax
(210) 745-2971
NPI assigned
Nov 29, 2006
Last updated
Nov 7, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 0101241809 VA
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X A91455 CA
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X M8988 TX Primary

Addresses

Primary practice location

18838 Stone Oak Pkwy
Suite 104
San Antonio, TX 78258-4179

Mailing address

18838 Stone Oak Pkwy
Suite 104
San Antonio, TX 78258-4179
Phone (210) 833-7972

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
I20091207000712 TX Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 3577594712 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Northwestern University Feinberg Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Sinus Institute PLLCGroup PAC ID 5395042436, 4 clinicians

Practice addresses (Care Compare)

9150 Huebner Rd
Suite 280
San Antonio, TX 78240-1545
Phone (210) 225-5666

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A91455CAMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vincent F Honrubia CurrentSince Oct 22, 2014 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Jan 20, 2011 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Jan 20, 2011 Accepting new patients
American Sinus Institute PLLC CurrentSince Jan 19, 2016 Accepting new patients
Anand G. Shah, MD, PA Past Accepting new patients
Michael Goddard L DPM Inc Past Accepting new patients

Locations

2821 W Michaelangelo Dr
Ste 201
Edinburg, TX 78539
Phone (956) 362-6075

1801 Binz St
Ste 400
Houston, TX 77004
Phone (713) 225-5666

4865 N McColl Rd
McAllen, TX 78504
Phone (956) 661-8200

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

8300 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-9300

9150 Huebner Rd
Ste 280
San Antonio, TX 78240
Phone (210) 225-5666

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1205903077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18838 STONE OAK PKWY",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584179",
            "telephone_number": "210-833-7972",
            "fax_number": "210-745-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18838 STONE OAK PKWY",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584179",
            "telephone_number": "210-833-7972",
            "fax_number": "210-745-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ANAND",
        "middle_name": "GOPAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101241809",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "CA",
            "license": "A91455",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "TX",
            "license": "M8988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.