Active NPI
Sulbha Shelare
- Physician Assistant
- Fulshear, TX
National Provider Identifier
1376933176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA09595
- Practice address
- 7629 Tiki Dr
Fulshear, TX 77441-1548 - Phone
- (281) 346-0018
- Fax
- (281) 346-0913
- NPI assigned
- Jan 31, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA09595 | TX | Primary |
Addresses
Primary practice location
7629 Tiki Dr
Fulshear, TX 77441-1548
Mailing address
7629 Tiki Dr
Fulshear, TX 77441-1548
Phone (281) 346-0018
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220428002400 | TX | Practitioner - Physician Assistant | 1557758125 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Heidi Schultz, M.D., P.a.
Practice addresses (Care Compare)
4780 Sweetwater Blvd
Suite 100
Sugar Land, TX 77479-3163
Phone (281) 491-0094
7629 Tiki Dr
Fulshear, TX 77441-1548
Phone (281) 346-0018
Hospital & facility affiliations
- Memorial Hermann Katy Hospital
- Houston Methodist West Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiology Center of Houston PA | Current | Accepting new patients |
Locations
7629 Tiki Dr
Fulshear, TX 77441
Phone (281) 346-0018
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GBGJAA/Endpoint/GBGJAA
- https://fhir4.healow.com/fhir/r4/CEDECA
- sulbha.shelare@fulm.eclinicaldirectplus.com
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.
-
- Cardiovascular Disease Physician
- Katy, TX
- NPI 1174683239
Hospital & facility affiliations 2
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": "1422662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1376933176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7629 TIKI DR",
"city": "FULSHEAR",
"state": "TX",
"postal_code": "774411548",
"telephone_number": "281-346-0018",
"fax_number": "281-346-0913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7629 TIKI DR",
"city": "FULSHEAR",
"state": "TX",
"postal_code": "774411548",
"telephone_number": "281-346-0018",
"fax_number": "281-346-0913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELARE",
"first_name": "SULBHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-31",
"last_updated": "2022-04-20",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA09595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fulshear, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.