Individual provider Active NPI

Shahe E Vartivarian, M.D.

  • Infectious Disease Physician
  • Houston, TX
National Provider Identifier
1235233651
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
H5084 Issued in TX
Practice address
7777 Southwest Fwy
Suite 610
Houston, TX 77074-1802
Phone
(713) 339-9949
Fax
(713) 339-9888
NPI assigned
Sep 8, 2006
Last updated
May 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X H5084 TX
Infectious Disease Physician 207RI0200X H5084 TX Primary

Addresses

Primary practice location

7777 Southwest Fwy
Suite 610
Houston, TX 77074-1802

Mailing address

7777 Southwest Fwy
Suite 610
Houston, TX 77074-1802
Phone (713) 339-9949

Other identifiers 1

IdentifierTypeStateIssuer
116028503MedicaidTX

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
I20101208000717 TX Practitioner - Internal MedicinePractitioner - Infectious Disease 0345137618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Metro Id Associates LTD LLPGroup PAC ID 3375430648, 4 clinicians

Practice addresses (Care Compare)

7777 Southwest Fwy
Suite 610
Houston, TX 77074-1811

7777 SW Frwy
Suite 610
Houston, TX 77074-1812
Phone (281) 295-4430

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Id Associates LTD LLP Specialist CurrentSince Aug 1, 1988 Accepting new patients

Locations

7777 Southwest Fwy
Ste 1050
Houston, TX 77074
Phone (713) 339-9949

7777 Southwest Fwy
Ste 610
Houston, TX 77074
Phone (281) 295-4430

Interoperability endpoints

  • Direct secure messaging: svartivarian26275@directhoustonmethodist.org
  • Direct secure messaging: svartivarian62337@memorialhermann.direct-ci.com

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": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1235233651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 SOUTHWEST FWY",
            "address_2": "SUITE 610",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741802",
            "telephone_number": "713-339-9949",
            "fax_number": "713-339-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 SOUTHWEST FWY",
            "address_2": "SUITE 610",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741802",
            "telephone_number": "713-339-9949",
            "fax_number": "713-339-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARTIVARIAN",
        "first_name": "SHAHE",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H5084",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "H5084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116028503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.