Individual provider Active NPI

Ramesh D Shah, MD

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1528039237
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J2793 Issued in TX
Practice address
2411 Fountain View Dr
Suite 200
Houston, TX 77057-4817
Phone
(713) 620-4000
Fax
(713) 458-4229
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J2793 TX Primary

Addresses

Primary practice location

2411 Fountain View Dr
Suite 200
Houston, TX 77057-4817

Mailing address

11226 S Wilcrest Dr
Houston, TX 77099-4313
Phone (819) 777-4622

Other identifiers 8

IdentifierTypeStateIssuer
8AW233OtherTXBLUE CROSS BLUE SHIELD
8K2464OtherTXBCBS
050041750OtherTXMEDICARE RAILROAD
8U3366OtherTXBLUE CROSS BLUE SHIELD
1528039237MedicaidTX
140074925MedicaidTX
140074929MedicaidTX
1982512MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J2793TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Hospital Holdings Inc Past Accepting new patients
North Cypress Anesthesiology Associates Anesthesiology Past Accepting new patients
Laredo Regional Medical Center Anesthesiology Past Accepting new patients
Regional Employee Assistance Program Inc Anesthesiology Past Accepting new patients
Anesthesia Healthcare Partners of Laredo, P. a. Anesthesiology Past Accepting new patients
Regional Employee Assistance Program Inc Family Medicine Past Accepting new patients
Skilled Facility Health Care Solutions Inc Past Accepting new patients
Rajgopal Pakanati MD PA Anesthesiology Past Accepting new patients

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1528039237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11226 S WILCREST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770994313",
            "telephone_number": "819-777-4622",
            "fax_number": "819-777-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 FOUNTAIN VIEW DR",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770574817",
            "telephone_number": "713-620-4000",
            "fax_number": "713-458-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RAMESH",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J2793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8AW233",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8K2464",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "050041750",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8U3366",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528039237",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140074925",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140074929",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982512",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.