Individual provider Active NPI

Shiva Daram, M.D.

  • Pediatric Otolaryngology Physician
  • Houston, TX
National Provider Identifier
1497199061
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X
License
R2562 Issued in TX
Practice address
6400 Fannin St Ste 2700
Houston, TX 77030-1539
Phone
(713) 486-5000
NPI assigned
Apr 24, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Otolaryngology Physician 207YP0228X 036.145158 IL
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Otolaryngology Physician 207YP0228X R2562 TX Primary

Addresses

Primary practice location

6400 Fannin St Ste 2700
Houston, TX 77030-1539

Mailing address

6431 Fannin St
MSB 5.036
Houston, TX 77030
Phone (713) 500-6636

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
I20190410000291 TX Practitioner - Otolaryngology 0547501009 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Baylor College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

6400 Fannin St
Suite 2700
Houston, TX 77030-1539
Phone (713) 486-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.145158ILMDPediatric Otolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Jan 3, 2023 Accepting new patients
Shriners Hospitals for Children CurrentSince May 6, 2022 Accepting new patients
Shriners Hospitals for Children CurrentSince May 6, 2022 Accepting new patients
Shriners Hospitals for Children Current Accepting new patients
Utmb Faculty Group Practice CurrentSince Feb 28, 2019 Accepting new patients
Ut Physicians CurrentSince Jan 3, 2023 Accepting new patients

Locations

3100 Samford Ave
Shreveport, LA 71103
Phone (318) 222-5704

815 Market St
Galveston, TX 77550
Phone (409) 770-6600

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

6431 Fannin St
#5036
Houston, TX 77030
Phone (713) 500-5410

6400 Fannin St
Ste 2700
Houston, TX 77030

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

23964 Katy Fwy
Ste 200
Katy, TX 77494
Phone (713) 486-7950

Organizations & group practices 6

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 2

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": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1497199061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 FANNIN ST",
            "address_2": "MSB 5.036",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-500-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST STE 2700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301539",
            "telephone_number": "713-486-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARAM",
        "first_name": "SHIVA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-24",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "IL",
            "license": "036.145158",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "TX",
            "license": "R2562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.