Individual provider Active NPI

Morteza Shatery, MD

  • Emergency Medicine Physician
  • Trinity, TX
National Provider Identifier
1508942947
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
L0591 Issued in TX
Practice address
900 Prospect Dr
Trinity, TX 75862-0000
Phone
(800) 893-9698
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X L0591 TX Primary

Addresses

Primary practice location

900 Prospect Dr
Trinity, TX 75862-0000

Mailing address

200 Corporate Blvd
Suite 201
Lafayette, LA 70508-3870

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
I20040324001163 TX Practitioner - Emergency MedicinePractitioner - General SurgeryPractitioner - Thoracic Surgery 6103717319 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: General Surgery
Education
Howard University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17030 NW Fwy
Jersey Village, TX 77040-1108
Phone (832) 232-0600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Sep 24, 2013 Accepting new patients
Excellence Emergency Hospital Physician PLLC CurrentSince Jul 20, 2022 Accepting new patients
Winnie Community Hospital LLC Current Accepting new patients
Jones ER Physicians Staffing Inc Emergency Medicine CurrentSince Apr 7, 2023 Accepting new patients
Memorial Medical Center CurrentSince Jul 19, 2013 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Jul 9, 2015 Accepting new patients
Frio Hospital Association CurrentSince Aug 27, 2015 Accepting new patients
Jackson County Hospital District CurrentSince Jun 17, 2015 Accepting new patients
Frio Hospital Association Emergency Medicine CurrentSince Aug 27, 2015 Accepting new patients
Winnie Community Hospital, L.L.C. Emergency Medicine CurrentSince Sep 28, 2018 Accepting new patients
Southwest Medical Associates, Inc. Emergency Medicine CurrentSince May 16, 2015 Accepting new patients
Emergency Services of Texas PA Emergency Medicine CurrentSince Jul 1, 2015 Accepting new patients
Jackson County Hospital District Emergency Medicine CurrentSince Jun 17, 2015 Accepting new patients
Memorial Medical Center CurrentSince Jul 19, 2013 Accepting new patients
Winnie Community Hospital, L.L.C. CurrentSince Sep 28, 2018 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Sep 24, 2013 Accepting new patients
Alpesh D. Desai, D.O. P.a. Past Accepting new patients
Village Emergency Room LLC Past Accepting new patients
Health and Human Services Commission Past Accepting new patients
Pegasus Emergency Group Moberly Emergency Medicine Past Accepting new patients
Cleveland Emergency Group PA Emergency Medicine Past Accepting new patients

Locations

720 Hospital Dr
Andrews, TX 79714
Phone (432) 464-2200

704 Hospital Dr
Carrizo Springs, TX 78834
Phone (830) 876-2424

110 Shult Dr
Columbus, TX 78934
Phone (979) 493-7560

6130 Parkway Dr
Corpus Christi, TX 78414
Phone (361) 826-5785

1013 S Wells St
Ste B
Edna, TX 77957

1013 S Wells St
Edna, TX 77957
Phone (361) 782-5241

1013 S Wells St
#B
Edna, TX 77957
Phone (361) 782-7800

10301 Gateway Blvd W
El Paso, TX 79925
Phone (915) 543-2424

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

15149 Wallisville Rd
Houston, TX 77049
Phone (832) 400-2396

2320 S Shepherd Dr
Houston, TX 77019
Phone (713) 322-8716

17030 Northwest Fwy
Bldg A
Jersey Village, TX 77040
Phone (832) 232-0600

17030 Northwest Fwy
Jersey Village, TX 77040
Phone (832) 232-0600

2200 N Bryan Ave
Lamesa, TX 79331
Phone (806) 872-2183

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

151 Medical Dr
Pearsall, TX 78061
Phone (830) 334-4126

2323 Texas St
Pecos, TX 79772
Phone (432) 447-3551

815 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

538 Broadway
Winnie, TX 77665
Phone (409) 296-6000

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508942947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "address_2": "SUITE 201",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 PROSPECT DR",
            "city": "TRINITY",
            "state": "TX",
            "postal_code": "758620000",
            "telephone_number": "800-893-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHATERY",
        "first_name": "MORTEZA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L0591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, TX

Sources for this page

Verify at the official NPI Registry.