Organization Active NPI

Novamed USA LLC

  • Durable Medical Equipment & Medical Supplies
  • Houston, TX
National Provider Identifier
1417889809
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NOVAMED USA LLC
Practice address
2830 Star Sky Way
Houston, TX 77045-2242
Phone
(203) 550-8542
NPI assigned
Jun 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Authorized official

Name
Shakil Idris
Title
MD
Phone
(203) 550-8542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2830 Star Sky Way
Houston, TX 77045-2242

Mailing address

2830 Star Sky Way
Houston, TX 77045-2242
Phone (203) 550-8542

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1780272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1417889809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 STAR SKY WAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770452242",
            "telephone_number": "203-550-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 STAR SKY WAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770452242",
            "telephone_number": "203-550-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVAMED USA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "IDRIS",
        "authorized_official_first_name": "SHAKIL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "203-550-8542"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.