Individual provider Active NPI

Shahbuddin Mukardamwala, MD

  • Neurology Physician
  • Houston, TX
National Provider Identifier
1477717320
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
P7317 Issued in TX
Practice address
11914 Astoria Blvd Ste 475
Houston, TX 77089-6078
Phone
(281) 481-4236
NPI assigned
Jul 10, 2008
Last updated
Sep 26, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X P7317 TX Primary

Addresses

Primary practice location

11914 Astoria Blvd Ste 475
Houston, TX 77089-6078

Mailing address

11914 Astoria Blvd Ste 475
Houston, TX 77089-6078

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
I20131111000308 TX Practitioner - Neurology 3173758661 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pearland Neurology Services, PLLCGroup PAC ID 6103241286, 3 clinicians

Practice addresses (Care Compare)

11914 Astoria Blvd
Suite 400
Houston, TX 77089-6049
Phone (281) 481-4236

4710 Bellaire Blvd
Suite 189
Bellaire, TX 77401-4505
Phone (844) 224-1751

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pearland Neurology Services, PLLC Neurology CurrentSince Apr 22, 2020 Accepting new patients
Sands Health LLC Neurology CurrentSince Mar 3, 2025 Accepting new patients

Locations

4710 Bellaire Blvd
Ste 189
Bellaire, TX 77401
Phone (713) 665-6076

11914 Astoria Blvd
Ste 400
Houston, TX 77089
Phone (281) 481-4236

3315 Burke Rd
Ste 103
Pasadena, TX 77504
Phone (713) 946-8951

1309 W 15th St
Ste 350
Plano, TX 75075
Phone (844) 598-2557

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDBDAD/Endpoint/EDBDAD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1477717320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11914 ASTORIA BLVD STE 475",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11914 ASTORIA BLVD STE 475",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896078",
            "telephone_number": "281-481-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKARDAMWALA",
        "first_name": "SHAHBUDDIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "P7317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.