Active NPI
Amelia Ruth-Desiret Shelby-Nwokeji, M.D.
- Emergency Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- M2098
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356567267 | Other | TX | BCBSTX |
| 207528501 | Medicaid | TX | |
| 8CD039 | Other | TX | BCBS TX |
| 1356567267 | Other | TX | TRICARE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091209000648 | TX | Practitioner - Family Practice | 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, PLLC
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Urgent Care PLLC | Emergency Medicine | Current | Accepting new patients |
| Excel Urgent Care PLLC | Current | Accepting new patients | |
| Calvary Urgent Care PA | Family Medicine | Current | 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.
-
- Urgent Care Clinic/Center
- Missouri City, TX
- NPI 1356574131
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1316363336
Emergency Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.