Individual provider Active NPI

Dhruvil Shah, M.D.

  • Surgery Physician
  • Houston, TX
National Provider Identifier
1457512964
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
Q0821 Issued in TX
Practice address
150 F.M. 1959
Houston, TX 77034
Phone
(281) 922-5550
Fax
(281) 484-8910
NPI assigned
Jun 18, 2008
Sex
Male
Sole proprietor
No

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.

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Baylor College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgical Specialists of Clear Lake PLLC 10 clinicians

Practice addresses (Care Compare)

450 W Med Ctr Blvd
Webster, TX 77598-4233
Phone (281) 332-4596

500 W Medical Ctr Blvd
Clear Lake Regional Medical Center
Webster, TX 77598-4220
Phone (281) 332-4596

502 W Medical Ctr Blvd
Bay Area Surgicare Center
Webster, TX 77598-4220
Phone (281) 332-4596

Hospital & facility affiliations

  • HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
90.38
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Removal of tissue1-10

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20140910000685 TX Practitioner - General Surgery 7810116654 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q0821TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Specialists of Clear Lake PLLC Surgery CurrentSince Sep 1, 2017 Accepting new patients
Southern Texas Physicians Network Inc Past Accepting new patients
Houston Cancer Institute PA Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

450 W Medical Center Blvd
Ste 600
Webster, TX 77598
Phone (281) 338-3270

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X Q0821 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

150 F.M. 1959
Houston, TX 77034

Mailing address

150 F.M. 1959
Houston, TX 77034
Phone (281) 922-5550

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
338007301MedicaidTX

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address DHRUVIL.SHAH@hca9.eclinicaldirectplus.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 6, 2022.

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1457512964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 F.M. 1959",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77034",
            "telephone_number": "281-922-5550",
            "fax_number": "281-484-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 F.M. 1959",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77034",
            "telephone_number": "281-922-5550",
            "fax_number": "281-484-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DHRUVIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "Q0821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "338007301",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DHRUVIL.SHAH@hca9.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "150 F.M. 1959",
            "city": "HOUSTON",
            "state": "TX",
            "country_code": "US",
            "postal_code": "77034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.