Active NPI
Manish Narendra Shah, M.D.
- Neurological Surgery Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- P9955
- Practice address
- 6410 Fannin St
Suite 950
Houston, TX 77030-3000 - Phone
- (832) 325-7234
- Fax
- (713) 512-2221
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | BB474578520060130173 | MO | |
| Neurological Surgery Physician | 207T00000X | P9955 | TX | Primary |
Addresses
Primary practice location
6410 Fannin St
Suite 950
Houston, TX 77030-3000
Mailing address
6431 Fannin St
MSB 5.144
Houston, TX 77030-1501
Phone (713) 500-7370
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 335706301 | Medicaid | TX | |
| 8EH924 | Other | BCBS |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BB474578520060130173 | MO | MD | Neurological Surgery Physician |
| P9955 | TX | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Ut Physicians | Current | Accepting new patients | |
| Physicians Referral Service | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Ut Physicians | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Memorial Hermann Health System | Past | Accepting new patients |
Locations
815 Market St
Galveston, TX 77550
Phone (409) 770-6600
1515 Holcombe Blvd
#R4212
Houston, TX 77030
Phone (713) 794-5446
1515 Holcombe Blvd
Houston, TX 77030
Phone (713) 794-5446
6431 Fannin St
#5144
Houston, TX 77030
6410 Fannin St
Ste 950
Houston, TX 77030
Phone (832) 325-7234
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
Interoperability endpoints
- mshah13625@direct.uth.org
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Houston, TX
- NPI 1073574810
-
- Pediatric Surgery Physician
- Galveston, TX
- NPI 1851631709
-
- Anesthesiology Physician
- Houston, TX
- NPI 1033157821
-
- Anesthesiology Physician
- Galveston, TX
- NPI 1316435563
-
- Health Educator
- Houston, TX
- NPI 1316534472
-
- Clinic/Center
- Aiea, HI
- NPI 1568299857
-
- General Acute Care Hospital
- Houston, TX
- NPI 1982666111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431907200000",
"number": "1326064262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6431 FANNIN ST",
"address_2": "MSB 5.144",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301501",
"telephone_number": "713-500-7370",
"fax_number": "713-500-7352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6410 FANNIN ST",
"address_2": "SUITE 950",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303000",
"telephone_number": "832-325-7234",
"fax_number": "713-512-2221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "MANISH",
"middle_name": "NARENDRA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2015-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MO",
"license": "BB474578520060130173",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "TX",
"license": "P9955",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "335706301",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8EH924",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.