Active NPI
Peter Yamamura Shane, MD
- Rheumatology Physician
- League City, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- L3122
- Practice address
- 2660 Gulf Fwy S
League City, TX 77573-6820 - Phone
- (832) 505-2150
- Fax
- (281) 337-0704
- NPI assigned
- Sep 21, 2023
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | L3122 | TX | Primary |
Addresses
Primary practice location
2660 Gulf Fwy S
League City, TX 77573-6820
Mailing address
400 Harborside Dr Suite 100
Galveston, TX 77555-1188
Phone (409) 772-0755
Other practice location 1
400 Harborside Dr Suite 100
Galveston, TX 77555-1188
Phone (409) 772-0755
Other practice location 2
6842 Plum Creek Dr
Amarillo, TX 79124-1601
Phone (806) 353-7000
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
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- University of Texas Medical School at Houston, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6842 Plum Creek Dr
Amarillo, TX 79124-1601
Phone (806) 353-7000
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.88 of 100
- Quality
- 73.38
- Improvement activities
- 40
- Cost
- 78.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy Arts LLP | Rheumatology | Current | Accepting new patients |
| Utmb Faculty Group Practice | Current | Accepting new patients | |
| Ammar Jarrous MD PA | Past | Accepting new patients |
Locations
6842 Plum Creek Dr
Amarillo, TX 79124
Phone (806) 353-7000
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
2660 Gulf Fwy S
League City, TX 77573
Phone (832) 505-2100
Interoperability endpoints
- pshanemd62331@direct.utmb.edu
Organizations & group practices 3
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.
-
- Rheumatology Physician
- Amarillo, TX
- NPI 1659342061
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Amarillo, TX
- NPI 1811172422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736812800000",
"number": "1295513000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 HARBORSIDE DR SUITE 100",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775551188",
"telephone_number": "409-772-0755",
"fax_number": "409-747-7012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2660 GULF FWY S",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775736820",
"telephone_number": "832-505-2150",
"fax_number": "281-337-0704"
}
],
"practiceLocations": [
{
"address_1": "400 Harborside Dr Suite 100",
"address_purpose": "LOCATION",
"city": "Galveston",
"state": "TX",
"postal_code": "775551188",
"country_code": "US",
"telephone_number": "409-772-0755",
"fax_number": "409-747-7012",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6842 Plum Creek Dr",
"address_purpose": "LOCATION",
"city": "Amarillo",
"state": "TX",
"postal_code": "791241601",
"country_code": "US",
"telephone_number": "806-353-7000",
"fax_number": "888-905-2452",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHANE",
"first_name": "PETER",
"middle_name": "YAMAMURA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-21",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "TX",
"license": "L3122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in League City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.