NPIMap

Individual provider Active NPI

Viren N Shah, MD

  • Internal Medicine Physician
National Provider Identifier
1306903265
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L2639 Issued in TX
Practice address
1235 Lakepoint Pkwy Suite 101
Sugarland, FORT BEND 77478
UM
Phone
(281) 980-2233
Fax
(281) 980-2220
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L2639 TX Primary

Addresses

Primary practice location

1235 Lakepoint Pkwy Suite 101
Sugarland, FORT BEND 77478
UM

Mailing address

1235 Lake Pointe Pkwy
Suite 101
Sugar Land, TX 77478-3389
Phone (281) 980-2233

Other identifiers 1

IdentifierTypeStateIssuer
144074501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101206000561 TX Practitioner - Internal Medicine 5193794097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1235 Lake Pointe Pkwy
Suite 101
Sugar Land, TX 77478-4077
Phone (281) 980-2233

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L2639TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Primary Care PA Internal Medicine CurrentSince Mar 26, 2002 Accepting new patients

Locations

1235 Lake Pointe Pkwy
Ste 101
Sugar Land, TX 77478
Phone (281) 980-2233

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12926/brand/1/csg/1/fhir/r4
  • Direct secure messaging: viren.shah.1@12926.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1306903265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 LAKE POINTE PKWY",
            "address_2": "SUITE 101",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783389",
            "telephone_number": "281-980-2233",
            "fax_number": "281-980-2220"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "1235 LAKEPOINT PKWY SUITE 101",
            "city": "SUGARLAND",
            "state": "FORT BEND",
            "postal_code": "77478",
            "telephone_number": "281-980-2233",
            "fax_number": "281-980-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "VIREN",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L2639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144074501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.