Individual provider Active NPI

Shelby Danielle Kiles, M.D.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1265793426
Registry record updated Feb 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P9383 Issued in TX
Practice address
5598 North Fwy # A1
Houston, TX 77076-4702
Phone
(832) 548-5000
NPI assigned
Jun 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2018

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 P9383 TX Primary

Addresses

Primary practice location

5598 North Fwy # A1
Houston, TX 77076-4702

Mailing address

PO Box 66308
Houston, TX 77266-6308

Other identifiers 1

IdentifierTypeStateIssuer
P9383OtherTXSTATE MEDICAL LICENSE

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
I20160418000756 TX Practitioner - Family Practice 8123326626 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nluc PLLC Current Accepting new patients
Rhonda Barnes Jordan, MD PA CurrentSince Apr 1, 2016 Accepting new patients
Next Level MV LLC CurrentSince May 1, 2020 Accepting new patients
Nluc PLLC CurrentSince Dec 9, 2017 Accepting new patients
Nluc PLLC CurrentSince Dec 9, 2017 Accepting new patients
Next Level MV LLC CurrentSince May 1, 2020 Accepting new patients
The Wellness Doc Integrative Medicine, PLLC PastSince Mar 5, 2023 Accepting new patients
Cypresswood Physicians PLLC Past Accepting new patients

Locations

7710 Garth Rd
Ste A
Baytown, TX 77521

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

2636 S Loop W
Ste 105
Houston, TX 77054
Phone (832) 834-3800

5749 San Felipe St
Houston, TX 77057
Phone (281) 362-7557

8325 Broadway St
Ste 220
Pearland, TX 77581
Phone (281) 873-8162

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

Interoperability endpoints

  • Direct secure messaging: shelby.kiles.1@33201.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1265793426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66308",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772666308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5598 NORTH FWY # A1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764702",
            "telephone_number": "832-548-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILES",
        "first_name": "SHELBY",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P9383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "P9383",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.