Active NPI
Shams S.M. Tabrez, M.D.
- Gastroenterology Physician
- Willow Park, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- T9989
- Practice address
- 130 Jimma Dr Unit a
Willow Park, TX 76087-1331 - Phone
- (817) 599-6222
- NPI assigned
- Feb 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | T9989 | TX | Primary |
Addresses
Primary practice location
130 Jimma Dr Unit a
Willow Park, TX 76087-1331
Mailing address
PO Box 206239
Dallas, TX 75320-6239
Phone (214) 424-2200
Other practice location 1
205 N Park Ave
Suite 106
Apopka, FL 32703-4102
Phone (407) 797-1179
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E1745 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
130 Jimma Dr
Willow Park, TX 76087-1329
Phone (817) 363-1410
Hospital & facility affiliations
- Texas Health Harris Methodist Hospital Azle
- Texas Health Harris Methodist Fort Worth
- Medical City Weatherford
- Palo Pinto General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 69 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 55 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T9989 | TX | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Digestive Disease Consultants, PLLC | Gastroenterology | Current | Accepting new patients |
| Texas Digestive Disease Consultants PLLC | Gastroenterology | Current | Accepting new patients |
| Orlando Gastroenterology, P.a. | Gastroenterology | Current | Accepting new patients |
| Sand Lake Cancer Center | Past | Accepting new patients |
Locations
1507 S Hiawassee Rd
Ste 105
Orlando, FL 32835
Phone (407) 445-9224
601 S Main St
Keller, TX 76248
Phone (817) 741-4347
130 Jimma Dr
Unit A
Willow Park, TX 76087
Phone (817) 363-1400
130 Jimma Dr
Willow Park, TX 76087
Phone (817) 363-1410
Interoperability endpoints
- stabrez618283@direct.shands.ufl.edu
Organizations & group practices 5
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.
-
- Gastroenterology Physician
- Irving, TX
- NPI 1053397331
-
- Gastroenterology Physician
- Orlando, FL
- NPI 1912002619
-
- Gastroenterology Physician
- Tavares, FL
- NPI 1982642922
-
- Gastroenterology Physician
- Covington, LA
- NPI 1295428415
-
- Infusion Therapy Clinic/Center
- Orlando, FL
- NPI 1821028804
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mineral Wells, TX
- NPI 1972590602
-
- General Acute Care Hospital
- Azle, TX
- NPI 1508899204
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
-
- General Acute Care Hospital
- Weatherford, TX
- NPI 1417471467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1215902184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 206239",
"city": "DALLAS",
"state": "TX",
"postal_code": "753206239",
"telephone_number": "214-424-2200",
"fax_number": "214-231-2159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 JIMMA DR UNIT A",
"city": "WILLOW PARK",
"state": "TX",
"postal_code": "760871331",
"telephone_number": "817-599-6222"
}
],
"practiceLocations": [
{
"address_1": "205 N Park Ave",
"address_2": "Suite 106",
"address_purpose": "LOCATION",
"city": "Apopka",
"state": "FL",
"postal_code": "327034102",
"country_code": "US",
"telephone_number": "407-797-1179",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TABREZ",
"first_name": "SHAMS",
"middle_name": "S.M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "T9989",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "E1745",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Willow Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.