Organization Active NPI

Shehata Medical Clinic MD, PA

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1386054211
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SHEHATA MEDICAL CLINIC MD, PA
Practice address
7015 Almeda Rd
Suite 3
Houston, TX 77054-2101
Phone
(800) 592-9175
Fax
(888) 887-9826
NPI assigned
Apr 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Authorized official

Name
Mohamed Shehata, M.D.NPI 1932217478
Title
Owner
Phone
(281) 252-9993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

7015 Almeda Rd
Suite 3
Houston, TX 77054-2101

Mailing address

PO Box 5149
Suite 3
Katy, TX 77491-5149
Phone (800) 592-9175

Other identifiers 1

IdentifierTypeStateIssuer
345884601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140804001032 TX Part B Supplier - Clinic/Group Practice 0941427652 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1386054211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5149",
            "address_2": "SUITE 3",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774915149",
            "telephone_number": "800-592-9175",
            "fax_number": "888-887-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015 ALMEDA RD",
            "address_2": "SUITE 3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542101",
            "telephone_number": "800-592-9175",
            "fax_number": "888-887-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEHATA MEDICAL CLINIC MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "SHEHATA",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-252-9993",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345884601",
            "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 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.