Individual provider Active NPI

Manish Narendra Shah, M.D.

  • Neurological Surgery Physician
  • Houston, TX
National Provider Identifier
1326064262
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
P9955 Issued in TX
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

Updated by the provider on May 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
335706301MedicaidTX
8EH924OtherBCBS

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
I20140623001040 TX Practitioner - Neurosurgery 6901020585 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BB474578520060130173MOMDNeurological Surgery Physician
P9955TXMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shriners Hospitals for Children CurrentSince Mar 14, 2016 Accepting new patients
Ut Physicians CurrentSince Jul 1, 2014 Accepting new patients
Physicians Referral Service CurrentSince Aug 1, 2014 Accepting new patients
Shriners Hospitals for Children Current Accepting new patients
Ut Physicians CurrentSince Jul 1, 2014 Accepting new patients
Shriners Hospitals for Children CurrentSince Mar 14, 2016 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.