Individual provider Active NPI

Peter Yamamura Shane, MD

  • Rheumatology Physician
  • League City, TX
National Provider Identifier
1295513000
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
L3122 Issued in TX
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

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231114003874 TX Practitioner - Rheumatology 2567443369 Reassigns benefits to 2 organizations

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
Allergy Arts LLPGroup PAC ID 5698744316, 6 clinicians

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 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Allergy Arts LLP Rheumatology CurrentSince Jan 6, 2025 Accepting new patients
Utmb Faculty Group Practice CurrentSince Nov 13, 2023 Accepting new patients
Ammar Jarrous MD PA PastSince Jan 6, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.