Active NPI
Nezar Ahmed Shobassy, MD
- Gastroenterology Physician
- Port Arthur, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- E7278
- Practice address
- 2001 9TH Ave
Ste 305
Port Arthur, TX 77642-2701 - Phone
- (409) 983-3221
- Fax
- (409) 983-3222
- NPI assigned
- Aug 3, 2005
- Last updated
- Jun 5, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | E7278 | TX | Primary |
Addresses
Primary practice location
2001 9TH Ave
Ste 305
Port Arthur, TX 77642-2701
Mailing address
2001 9TH Ave
Ste 305
Port Arthur, TX 77642-2701
Phone (409) 983-3221
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81V520 | Other | TX | BC/BS |
| P01V5200 | Medicaid | TX | |
| 826283009 | Other | TX | MEDICARE RAILROAD |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sherman MD Provider Inc | Gastroenterology | Current | Accepting new patients |
| Sherman MD Provider Inc | Gastroenterology | Current | Accepting new patients |
| Sherman MD Provider Inc | Current | Accepting new patients | |
| Nezar a. Shobassy, M.D.P.a. | Gastroenterology | Current | Accepting new patients |
| Shobassy G.I.,P.a. | Gastroenterology | Past | Accepting new patients |
Locations
1315 St Joseph Pkwy
Ste 806
Houston, TX 77002
Phone (713) 650-1900
2400 Highway 365
Ste 203
Nederland, TX 77627
Phone (409) 727-3004
2555 Jimmy Johnson Blvd
Ste 500
Port Arthur, TX 77640
Phone (409) 237-0045
2001 9th Ave
Ste 305
Port Arthur, TX 77642
Phone (409) 983-3221
2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389
3401 N Calais Dr
Ste A
Sherman, TX 75090
Phone (903) 870-2094
1908 N Laurent St
Ste 330
Victoria, TX 77901
Phone 36157203332244
Interoperability endpoints
- nezar.shobassy.1@19036.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Gastroenterology Associates
- Gastroenterology Physician
- Port Arthur, TX
- NPI 1679574248
-
dba WNJ WellCare Medical Group
- Family Medicine Physician
- Sherman, TX
- NPI 1841696846
Gastroenterology
-
- Gastroenterology Physician
- Nederland, TX
- NPI 1649683319
-
dba Texas Medical Group SJMC
- Specialist
- Houston, TX
- NPI 1669367256
Gastroenterology
-
dba Texas Medical Group - Anesthesiology
- Anesthesiology Physician
- Houston, TX
- NPI 1871476309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212624000000",
"number": "1265433031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 9TH AVE",
"address_2": "STE 305",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776422701",
"telephone_number": "409-983-3221",
"fax_number": "409-983-3222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 9TH AVE",
"address_2": "STE 305",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776422701",
"telephone_number": "409-983-3221",
"fax_number": "409-983-3222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOBASSY",
"first_name": "NEZAR",
"middle_name": "AHMED",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2008-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "E7278",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "81V520",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P01V5200",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "826283009",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Arthur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.