Individual provider Active NPI

Amelia Ruth-Desiret Shelby-Nwokeji, M.D.

  • Emergency Medicine Physician
  • Houston, TX
National Provider Identifier
1356567267
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
M2098 Issued in TX
Practice address
211 Highland Cross Dr
Suite 275
Houston, TX 77073-1733
Phone
(281) 784-1500
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M2098 TX
Emergency Medicine Physician 207P00000X M2098 TX Primary

Addresses

Primary practice location

211 Highland Cross Dr
Suite 275
Houston, TX 77073-1733

Mailing address

18114 Bayou Mead TRL
Humble, TX 77346-3078
Phone (281) 852-6457

Other identifiers 4

IdentifierTypeStateIssuer
1356567267OtherTXBCBSTX
207528501MedicaidTX
8CD039OtherTXBCBS TX
1356567267OtherTXTRICARE SOUTH

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
I20091209000648 TX Practitioner - Family PracticePractitioner - Emergency Medicine 1153460829 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Howard University College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Urgent Care, PLLCGroup PAC ID 9133146780, 15 clinicians

Practice addresses (Care Compare)

19304 Katy Fwy
Suite 100
Houston, TX 77094-1008
Phone (281) 829-9900

25801 Hwy 290
Cypress, TX 77429-1049

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Urgent Care PLLC Emergency Medicine CurrentSince Sep 1, 2011 Accepting new patients
Excel Urgent Care PLLC CurrentSince Sep 1, 2011 Accepting new patients
Calvary Urgent Care PA Family Medicine CurrentSince Jul 5, 2016 Accepting new patients
Greater Houston Emergency Physicians PLLC Emergency Medicine Past Accepting new patients

Locations

25402 Northwest Fwy
Ste 101
Cypress, TX 77429
Phone (281) 304-1100

25801 Highway 290
Cypress, TX 77429
Phone (281) 304-1100

19304 Katy Fwy
Ste 100
Houston, TX 77094
Phone (281) 304-1100

8484 Will Clayton Pkwy
Humble, TX 77338
Phone (832) 680-2273

Organizations & group practices 4

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1356567267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18114 BAYOU MEAD TRL",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463078",
            "telephone_number": "281-852-6457",
            "fax_number": "281-973-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 HIGHLAND CROSS DR",
            "address_2": "SUITE 275",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770731733",
            "telephone_number": "281-784-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELBY-NWOKEJI",
        "first_name": "AMELIA",
        "middle_name": "RUTH-DESIRET",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M2098",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M2098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "1356567267",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207528501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "8CD039",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH",
            "identifier": "1356567267",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.