Individual provider Active NPI

Shama Rasheed, MD

  • Psychiatry Physician
  • Pearland, TX
National Provider Identifier
1417937350
Registry record updated Jun 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
L4101 Issued in TX
Practice address
2243 Park Ave
Pearland, TX 77581-4216
Phone
(713) 252-4994
Fax
(281) 565-1952
NPI assigned
Jan 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X L4101 TX Primary
Child & Adolescent Psychiatry Physician 2084P0804X L4101 TX

Addresses

Primary practice location

2243 Park Ave
Pearland, TX 77581-4216

Mailing address

2243 Park Ave
Pearland, TX 77581-4216
Phone (713) 252-4994

Other identifiers 3

IdentifierTypeStateIssuer
10012993OtherTXAMERIGROUP
166237102MedicaidTX
8J1423OtherTXBLUE CROSS BLUE SHIELD

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
I20040722001133 TX Practitioner - Psychiatry 0143200816 Reassigns benefits to 1 organization
Practice locations: Pearland, TX

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Solar Health, P.a. Psychiatry CurrentSince Jun 24, 2017 Accepting new patients
Solar Health, P.a. CurrentSince Jun 24, 2017 Accepting new patients
Regions Integrated Health & Wellness LLC PastSince Jul 1, 2020 Accepting new patients

Locations

10 Medical Pkwy
Ste 106
Farmers Branch, TX 75234
Phone (469) 453-5500

910 N Galloway Ave
#302
Mesquite, TX 75149
Phone (972) 301-8897

811 S Central Expy
Ste 103
Richardson, TX 75080
Phone (972) 310-7121

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496793600000",
    "number": "1417937350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2243 PARK AVE",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775814216",
            "telephone_number": "713-252-4994",
            "fax_number": "281-565-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2243 PARK AVE",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775814216",
            "telephone_number": "713-252-4994",
            "fax_number": "281-565-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASHEED",
        "first_name": "SHAMA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2017-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "L4101",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "L4101",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10012993",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166237102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8J1423",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.