Individual provider Active NPI

Shiraj Adambhai Vahora, MD

  • Forensic Psychiatry Physician
  • Big Spring, TX
National Provider Identifier
1407852650
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Psychiatry PhysicianTaxonomy code 2084F0202X
License
H1853 Issued in TX
Practice address
1901 N US Highway 87
Big Spring, TX 79720-0283
Phone
(432) 267-8216
NPI assigned
Jun 22, 2005
Last updated
Dec 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X H1853 TX Primary

Addresses

Primary practice location

1901 N US Highway 87
Big Spring, TX 79720-0283

Mailing address

PO Box 16829
Lubbock, TX 79490-6829
Phone (806) 535-6688

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
I20130619000608 TX Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 3678712882 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lubbock Regional MHMR CenterGroup PAC ID 6800782376, 23 clinicians

Practice addresses (Care Compare)

1950 Aspen Ave
Lubbock, TX 79404-1211
Phone (806) 740-1400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission Current Accepting new patients
Texas Tech University Health Sciences Center Odessa CurrentSince Jan 1, 2014 Accepting new patients
Health and Human Services Commission CurrentSince Sep 1, 2017 Accepting new patients
Lubbock Regional MHMR Center CurrentSince Aug 30, 2022 Accepting new patients

Locations

1901 N US Highway 87
Big Spring, TX 79720
Phone (432) 267-8216

1950 Aspen Ave
Lubbock, TX 79404
Phone (806) 740-1400

3401 N University Ave
Lubbock, TX 79415
Phone (806) 741-3514

3601 4th St
Ste 1A115
Lubbock, TX 79430
Phone (806) 743-2155

701 W 5th St
Odessa, TX 79763
Phone (432) 335-2222

701 W 5th St
#3142
Odessa, TX 79763
Phone (432) 335-2222

Interoperability endpoints

  • Direct secure messaging: shiraj.vahora@direct.myteamcare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1407852650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16829",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794906829",
            "telephone_number": "806-535-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N US HIGHWAY 87",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797200283",
            "telephone_number": "432-267-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAHORA",
        "first_name": "SHIRAJ",
        "middle_name": "ADAMBHAI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "TX",
            "license": "H1853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Spring, TX

Sources for this page

Verify at the official NPI Registry.