Individual provider Active NPI

Shaukath Zahiruddin, M.D.

  • Family Medicine Physician
  • Tomball, TX
National Provider Identifier
1235163403
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G0319 Issued in TX
Practice address
28465 State Highway 249
Tomball, TX 77375-3307
Phone
(281) 351-8249
Fax
(281) 351-6606
NPI assigned
Jul 11, 2006
Last updated
Feb 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G0319 TX Primary

Addresses

Primary practice location

28465 State Highway 249
Tomball, TX 77375-3307

Mailing address

28465 State Highway 249
Tomball, TX 77375-3307
Phone (281) 351-8249

Other identifiers 3

IdentifierTypeStateIssuer
88J826OtherBCBS
88J861OtherBCBS
RW04OtherBCBS

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
I20060713000315 TX Practitioner - Family Practice 2062425127 Practice locations: Tomball, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1971
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

28465 State Hwy 249
Tomball, TX 77375-3307
Phone (281) 351-8249

28465 State Hwy 249
Tomball, TX 77375-3309

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Conroe Clinic Corporation Past Accepting new patients
Hillcroft Medihealth Associates PA Family Medicine Past Accepting new patients
Medi-Chair LLC Past Accepting new patients
Conroe Medihealth Associates PA Family Medicine Past Accepting new patients

Organizations & group practices 4

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 1

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1235163403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28465 STATE HIGHWAY 249",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753307",
            "telephone_number": "281-351-8249",
            "fax_number": "281-351-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28465 STATE HIGHWAY 249",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753307",
            "telephone_number": "281-351-8249",
            "fax_number": "281-351-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAHIRUDDIN",
        "first_name": "SHAUKATH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G0319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "88J826",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "88J861",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "RW04",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.