Individual provider Active NPI

Shanti Iyengar Powell, M.D

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1336277383
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K4195 Issued in TX
Practice address
2505 Dunlavy St
Houston, TX 77006-2405
Phone
(713) 662-3343
Fax
(281) 840-4441
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K4195 TX Primary

Addresses

Primary practice location

2505 Dunlavy St
Houston, TX 77006-2405

Mailing address

2505 Dunlavy St
Houston, TX 77006-2405
Phone (713) 662-3343

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
I20040916001257 TX Practitioner - Family Practice 4284602376 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galleria Pain Physicians PLLCGroup PAC ID 3577824630, 9 clinicians

Practice addresses (Care Compare)

6700 W Loop S
Suite 225
Bellaire, TX 77401-4104
Phone (281) 393-4121

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Galleria Pain Physicians PLLC CurrentSince Jul 20, 2024 Accepting new patients
Paramount MD PA Past Accepting new patients

Locations

6700 West Loop S
Ste 225
Bellaire, TX 77401
Phone (281) 393-4121

251 W Medical Center Blvd
Webster, TX 77598
Phone (281) 338-7693

Organizations & group practices 2

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396828800000",
    "number": "1336277383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 DUNLAVY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770062405",
            "telephone_number": "713-662-3343",
            "fax_number": "281-840-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 DUNLAVY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770062405",
            "telephone_number": "713-662-3343",
            "fax_number": "281-840-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "SHANTI",
        "middle_name": "IYENGAR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2014-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K4195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.