Pankajkumar Gopaldas Shah, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

J9336 Issued in TX

Practice address

1506 E Griffin Pkwy
Mission, TX 78572

Phone

(956) 583-0202

Fax

(956) 583-0200

NPI assigned

Aug 15, 2005

Reactivated

Apr 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Ophthalmology

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shah Eye Center PAGroup PAC ID 7214935543, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rio Grande Regional Hospital Hospital, McAllen, TX, CCN 450711

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pshah@shaheye.intellechartdirect.net

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.

• Shah Eye Center, P.a.

  • Ophthalmology Physician
  • Mission, TX
  • NPI 1639114291
  Medicare reassignment Care Compare group NPD Authorized official
• Shah Eye Center, P.a.

  • Eyewear Supplier
  • Laredo, TX
  • NPI 1851537906
  NPD (past) Authorized official
• George P Amegin DO PA

  • Ophthalmology Physician
  • Edinburg, TX
  • NPI 1417159542
  NPD (past)

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

• Columbia Rio Grande Healthcare, L.P.

  dba Rio Grande Regional Hospital

  • General Acute Care Hospital
  • McAllen, TX
  • NPI 1619924719
  Care Compare affiliation

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1518959758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "78572",
            "telephone_number": "956-583-0202",
            "fax_number": "956-583-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "78572",
            "telephone_number": "956-583-0202",
            "fax_number": "956-583-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5413 N McColl Rd",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785042206",
            "country_code": "US",
            "telephone_number": "956-994-1000",
            "fax_number": "956-583-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8607 McPherson Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780456383",
            "country_code": "US",
            "telephone_number": "956-753-0202",
            "fax_number": "956-583-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 E 8th St Ste 9",
            "address_purpose": "LOCATION",
            "city": "Weslaco",
            "state": "TX",
            "postal_code": "785964346",
            "country_code": "US",
            "telephone_number": "956-854-4117",
            "fax_number": "956-583-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5346 E US Highway 83 Ste 1",
            "address_purpose": "LOCATION",
            "city": "Rio Grande City",
            "state": "TX",
            "postal_code": "785829418",
            "country_code": "US",
            "telephone_number": "956-583-0202",
            "fax_number": "956-583-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Village Center Dr",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785261119",
            "country_code": "US",
            "telephone_number": "956-583-0202",
            "fax_number": "956-583-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PANKAJKUMAR",
        "middle_name": "GOPALDAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "J9336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133210806",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133210809",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serene Hospice Care, LLC.
• Serenity Path Psychiatry PLLC
• Sergio G. Preciado, M.D., P.a. (Mission Children's Clinic)
• Abril Sevilla-Lopez, OTD, OTR
• Shah Eye Center, P.a.
• Shary Gardens Pediatrics
• Shary Medical Pharmacy
• Sharyland Counseling Services, LLC
• Sharyland Dental and Orthodontics PLLC
• Sharyland Dental Care PLLC

• Ophthalmology Physician in Mission, TX
• Providers in Mission, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.