Individual provider Active NPI

Debra Jane Shetlar, MD

  • Ophthalmology Physician
  • Houston, TX
National Provider Identifier
1295736395
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G8413 Issued in TX
Practice address
1504 Taub Loop
Houston, TX 77030-1608
Phone
(713) 526-4243
NPI assigned
Aug 10, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G8413 TX Primary

Addresses

Primary practice location

1504 Taub Loop
Houston, TX 77030-1608

Mailing address

1 Baylor PLZ # Nc205
Houston, TX 77030-3411
Phone (713) 798-4299

Other practice location 1

3515 Town Center Blvd S
Sugar Land, TX 77479-1285
Phone (281) 277-8400

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
I20060922000343 TX Practitioner - OphthalmologyPractitioner - Pathology 2466457510 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Pathology
Education
University of Texas Medical School at Houston, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor College of MedicineGroup PAC ID 8527956176, 47 clinicians
Baylor College of MedicineGroup PAC ID 8224941265, 796 clinicians

Practice addresses (Care Compare)

100 Medical Dr
Lake Jackson, TX 77566-5674
Phone (979) 297-4411

1504 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G8413TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Jan 2, 2013 Accepting new patients
Baylor College of Medicine Ophthalmology CurrentSince Jan 1, 2014 Accepting new patients
Baylor College of Medicine CurrentSince Jan 2, 2013 Accepting new patients
Baylor College of Medicine CurrentSince Apr 1, 2018 Accepting new patients
Baylor College of Medicine CurrentSince Jan 1, 2014 Accepting new patients
Baylor College of Medicine Past Accepting new patients
Pacific Eye Associates, a Medical Corporation Ophthalmology Past Accepting new patients
Baylor College of Medicine Ophthalmology Past Accepting new patients
Baylor College of Medicine Past Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

1115 Avenue G
Bay City, TX 77414
Phone (979) 245-6383

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

3200 Wilcrest Dr
Ste 600
Houston, TX 77042

6550 Fannin St
Ste 802
Houston, TX 77030
Phone (713) 798-6131

6701 Fannin St
Ste 510
Houston, TX 77030
Phone (832) 822-3230

6621 Fannin St
Ste 300
Houston, TX 77030
Phone (713) 770-3230

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

1504 Taub Loop
Fl 2
Houston, TX 77030
Phone (713) 526-4243

481 Ih 45 S
Ste 7
Huntsville, TX 77340
Phone (409) 291-9704

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

Organizations & group practices 10

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1295736395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BAYLOR PLZ # NC205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303411",
            "telephone_number": "713-798-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 TAUB LOOP",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301608",
            "telephone_number": "713-526-4243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3515 Town Center Blvd S",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774791285",
            "country_code": "US",
            "telephone_number": "281-277-8400",
            "fax_number": "281-277-8408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHETLAR",
        "first_name": "DEBRA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "G8413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.