NPIMap

Individual provider Active NPI

Paul Gregory Shupe, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Houston, TX
National Provider Identifier
1417926718
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
Q3966 Issued in TX
Practice address
10125 Katy Fwy Ste 100
Houston, TX 77024-1287
Phone
(713) 486-1700
Fax
(713) 467-6682
NPI assigned
Mar 17, 2006
Last updated
Oct 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Aerospace Medicine Physician 2083A0100X 0101236844 VA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X Q3966 TX Primary

Addresses

Primary practice location

10125 Katy Fwy Ste 100
Houston, TX 77024-1287

Mailing address

6400 Fannin St Ste 1700
Houston, TX 77030-1526
Phone (713) 486-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160620001816 TX Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 8820211329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
George Washington University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

17500 W Grand Pkwy S
Sugar Land, TX 77479-2562
Phone (281) 725-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101236844VAMDAerospace Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Aug 1, 2016 Accepting new patients
Ut Physicians CurrentSince Aug 1, 2016 Accepting new patients
Ut Physicians Past Accepting new patients

Locations

6400 Fannin St
Ste 1700
Houston, TX 77030
Phone (713) 486-5527

10125 Katy Fwy
Ste 100
Houston, TX 77024
Phone (713) 486-1700

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

950 Corbindale Rd
Ste 300
Houston, TX 77024
Phone (713) 486-1700

8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200

17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000

Interoperability endpoints

  • Direct secure messaging: pshupe13986@direct.uth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1417926718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST STE 1700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301526",
            "telephone_number": "713-486-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10125 KATY FWY STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241287",
            "telephone_number": "713-486-1700",
            "fax_number": "713-467-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUPE",
        "first_name": "PAUL",
        "middle_name": "GREGORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "VA",
            "license": "0101236844",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "Q3966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.