Individual provider Active NPI

Shahid Javed Husain, M.D

  • Critical Care Medicine (Internal Medicine) Physician
  • Bellaire, TX
National Provider Identifier
1346377215
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
K9569 Issued in TX
Practice address
5116 Bissonnet St # 165
Bellaire, TX 77401-4007
Phone
(713) 363-1376
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 01068238A IN
Pulmonary Disease Physician 207RP1001X K9569 TX
Critical Care Medicine (Internal Medicine) Physician 207RC0200X K9569 TX Primary

Addresses

Primary practice location

5116 Bissonnet St # 165
Bellaire, TX 77401-4007

Mailing address

5116 Bissonnet St # 165
Bellaire, TX 77401-4007
Phone (713) 363-1376

Other practice location 1

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shusain305210@ReidHealth.direct-ci.com Reid Physician Associates, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20160114000322 IN Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 1557450681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians

Practice addresses (Care Compare)

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3122

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01068238AINMDCritical Care Medicine (Internal Medicine) Physician
K9569TXMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reid Physician Associates, Inc CurrentSince Jan 29, 2016 Accepting new patients
Reid Physician Associates, Inc. CurrentSince Jan 29, 2016 Accepting new patients
Sterling Critical Care Services of Colorado, LLC Critical Care Medicine Past Accepting new patients

Locations

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

Interoperability endpoints

  • Direct secure messaging: shusain305210@ecommunitydirect.com
  • Direct secure messaging: shusain305210@reidhealth.direct-ci.com

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1346377215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5116 BISSONNET ST # 165",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014007",
            "telephone_number": "713-363-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5116 BISSONNET ST # 165",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014007",
            "telephone_number": "713-363-1376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Reid Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473741157",
            "country_code": "US",
            "telephone_number": "765-983-3000",
            "fax_number": "765-935-8944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSAIN",
        "first_name": "SHAHID",
        "middle_name": "JAVED",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IN",
            "license": "01068238A",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "K9569",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "K9569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shusain305210@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "address_1": "1100 Reid Pkwy",
            "city": "Richmond",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473741157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.