Individual provider Active NPI

Shruja P Patel, M.D.

  • Family Medicine Physician
  • Katy, TX
National Provider Identifier
1467708883
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
BP10043564 Issued in TX
Practice address
25314 Kingsland Blvd
Katy, TX 77494-7254
Phone
(832) 508-6632
Fax
(832) 437-1640
NPI assigned
Aug 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10043564 TX Primary

Addresses

Primary practice location

25314 Kingsland Blvd
Katy, TX 77494-7254

Mailing address

25314 Kingsland Blvd
Katy, TX 77494-7254
Phone (832) 508-6632

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
I20150904002064 TX Practitioner - Family Practice 0941516991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shruja Patel MdpaGroup PAC ID 6507297298, 3 clinicians

Practice addresses (Care Compare)

25314 Kingsland Blvd
Katy, TX 77494-7254
Phone (832) 508-6632

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10043564TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shruja Patel Mdpa CurrentSince Jun 1, 2020 Accepting new patients
Singleton Associates PA Past Accepting new patients

Locations

633 E Fernhurst Dr
Ste 802
Katy, TX 77450
Phone (713) 416-4160

25314 Kingsland Blvd
Katy, TX 77494
Phone (832) 508-6632

Organizations & group practices 2

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1467708883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25314 KINGSLAND BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947254",
            "telephone_number": "832-508-6632",
            "fax_number": "832-437-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25314 KINGSLAND BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947254",
            "telephone_number": "832-508-6632",
            "fax_number": "832-437-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHRUJA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-03",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10043564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.