Individual provider Active NPI

Shyam Panchal

  • Vascular Neurology Physician
  • Shenandoah, TX
National Provider Identifier
1326425281
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
S1886 Issued in TX
Practice address
17189 Interstate 45 S Ste 675
Shenandoah, TX 77385-3320
Phone
(936) 270-3900
Fax
(936) 271-1584
NPI assigned
Apr 29, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Neurology Physician 2084V0102X S1886 TX Primary

Addresses

Primary practice location

17189 Interstate 45 S Ste 675
Shenandoah, TX 77385-3320

Mailing address

17189 Interstate 45 S Ste 675
Shenandoah, TX 77385-3320
Phone (936) 270-3900

Other practice location 1

6565 Fannin St
Houston, TX 77030-2703
Phone (713) 790-3311

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
I20200818000544 TX Practitioner - Neurology 5193141497 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Texas Medical Branch at Galveston, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians
Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians

Practice addresses (Care Compare)

Houston, TX 77070
Phone (281) 737-0899

16605 Southwest Fwy
Sugar Land, TX 77479-3500
Phone (281) 275-0800

16605 Southwest Fwy 400 Mob3
Methodist Family Medicine Group
Sugar Land, TX 77479-3500
Phone (281) 275-0800

16605 SW Fwy 410
Methodist Diag Card of Houston
Sugar Land, TX 77479-3500
Phone (281) 274-0148

16655 Southwest Fwy
Sugar Land, TX 77479-2329

16811 Southwest Fwy
Suite 200
Sugar Land, TX 77479-4728
Phone (281) 690-4678

17201 Interstate 45 S
The Woodlands, TX 77385-3311
Phone (936) 270-3662

18220 State Hwy 249
Houston, TX 77070-4347
Phone (281) 737-8300

18500 Katy Fwy
Houston, TX 77094-1110
Phone (832) 522-8560

Hospital & facility affiliations

  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Sep 7, 2020 Accepting new patients
TMH Physician Associates PLLC CurrentSince Sep 7, 2020 Accepting new patients

Locations

7550 Greenbriar Dr
Ste RB6230
Houston, TX 77030
Phone (713) 363-8256

17183 Interstate 45 S
Ste 690
Shenandoah, TX 77385
Phone (936) 270-3900

17189 Interstate 45 S
Ste 245
Shenandoah, TX 77385

17189 Interstate 45 S
Ste 675
Shenandoah, TX 77385
Phone (936) 270-3900

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Interoperability endpoints

  • Direct secure messaging: spanchal328682@directhoustonmethodist.org
  • Direct secure messaging: spanchal444046@direct.vumc.org

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.

Hospital & facility affiliations 1

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": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1326425281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17189 INTERSTATE 45 S STE 675",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853320",
            "telephone_number": "936-270-3900",
            "fax_number": "936-271-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17189 INTERSTATE 45 S STE 675",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853320",
            "telephone_number": "936-270-3900",
            "fax_number": "936-271-1584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6565 Fannin St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302703",
            "country_code": "US",
            "telephone_number": "713-790-3311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANCHAL",
        "first_name": "SHYAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-29",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "TX",
            "license": "S1886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.