NPIMap

Organization Active NPI

Shaun S. Varghese, M.D., PLLC

Doing business as The Houston Institute of Neurology for Kids

  • Neurology with Special Qualifications in Child Neurology Physician
  • Shenandoah, TX
National Provider Identifier
1497168546
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
P9760 Issued in TX
Legal business name
SHAUN S. VARGHESE, M.D., PLLC
Doing business as
The Houston Institute of Neurology for Kids
Practice address
920 Medical Plaza Dr
Suite 120
Shenandoah, TX 77380-3260
Phone
(281) 298-1144
Fax
(281) 298-1133
NPI assigned
Jun 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Authorized official

Name
Dr. Shaun S Varghese, M.D.NPI 1669720926
Title
Owner/President
Phone
(832) 767-8365

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Neurodevelopmental Disabilities PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0008X P9760 TX
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0402X P9760 TX Primary

Addresses

Primary practice location

920 Medical Plaza Dr
Suite 120
Shenandoah, TX 77380-3260

Mailing address

920 Medical Plaza Dr
Suite 120
Shenandoah, TX 77380-3260
Phone (281) 298-1144

Other identifiers 1

IdentifierTypeStateIssuer
339121101MedicaidTX

Other names 1

  • The Houston Institute of Neurology for Kids Doing business as

National Provider Directory

National Provider Directory

Locations

920 Medical Plaza Dr
Ste 120
Shenandoah, TX 77380
Phone (281) 298-1144

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1497168546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 MEDICAL PLAZA DR",
            "address_2": "SUITE 120",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803260",
            "telephone_number": "281-298-1144",
            "fax_number": "281-298-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MEDICAL PLAZA DR",
            "address_2": "SUITE 120",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803260",
            "telephone_number": "281-298-1144",
            "fax_number": "281-298-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAUN S. VARGHESE, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-06",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "VARGHESE",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "832-767-8365",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "TX",
            "license": "P9760",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "TX",
            "license": "P9760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "339121101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Houston Institute of Neurology for Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.