NPIMap

Individual provider Active NPI

Jonathan W Shum, MD, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Houston, TX
National Provider Identifier
1518110329
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
P7351 Issued in TX
Practice address
6560 Fannin St Ste 1900
Houston, TX 77030-2785
Phone
(713) 790-4600
Fax
(713) 729-1229
NPI assigned
Oct 24, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X D73838 MD
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X FE156073 OR
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X P7351 TX Primary

Addresses

Primary practice location

6560 Fannin St Ste 1900
Houston, TX 77030-2785

Mailing address

6560 Fannin St Ste 1900
Houston, TX 77030-2785
Phone (713) 790-4600

Other practice location 1

7500 Cambridge St
Suite 6510
Houston, TX 77054-2032
Phone (713) 486-4326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131024001477 TX Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 5890920037 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
University of Toronto Faculty of Dentistry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harris County Hospital DistrictGroup PAC ID 1456346402, 21 clinicians
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

1504 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-2000

6410 Fannin St
Houston, TX 77030-3005

6411 Fannin St
Houston, TX 77030-1501
Phone (713) 704-0093

6431 Fannin St
MSB2.100
Houston, TX 77030-1501
Phone (713) 500-7700

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D73838MDMDOral & Maxillofacial Surgery (D.M.D.)
FE156073ORMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Harris County Hospital District CurrentSince Nov 6, 2023 Accepting new patients
Harris County Hospital District CurrentSince Nov 6, 2023 Accepting new patients
Ut Physicians CurrentSince Sep 1, 2013 Accepting new patients
Ut Physicians CurrentSince Sep 1, 2013 Accepting new patients
Harris County Hospital District Current Accepting new patients

Locations

6560 Fannin St
Ste 1900
Houston, TX 77030
Phone (713) 500-4000

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

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

2118 Washington Ave
Houston, TX 77007
Phone (713) 869-3551

7500 Cambridge St
Ste 6510
Houston, TX 77054
Phone (713) 486-4052

Interoperability endpoints

  • Direct secure messaging: jshum12654@direct.uth.org

Organizations & group practices 5

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1518110329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 1900",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302785",
            "telephone_number": "713-790-4600",
            "fax_number": "713-729-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 1900",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302785",
            "telephone_number": "713-790-4600",
            "fax_number": "713-729-1229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7500 Cambridge St",
            "address_2": "Suite 6510",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770542032",
            "country_code": "US",
            "telephone_number": "713-486-4326",
            "fax_number": "713-486-4333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUM",
        "first_name": "JONATHAN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD, DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MD",
            "license": "D73838",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "OR",
            "license": "FE156073",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "P7351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.