Individual provider Active NPI

Kelvin S Shaw, MD

  • Allergy & Immunology Physician
  • Kingwood, TX
National Provider Identifier
1548259922
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
L6179 Issued in TX
Practice address
1850 W Lake Houston Pkwy
Suite 100
Kingwood, TX 77339-5237
Phone
(281) 540-7764
Fax
(281) 359-3340
NPI assigned
Oct 18, 2005
Last updated
Aug 26, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X L6179 TX Primary

Addresses

Primary practice location

1850 W Lake Houston Pkwy
Suite 100
Kingwood, TX 77339-5237

Mailing address

1850 W Lake Houston Pkwy
Suite 100
Kingwood, TX 77339-5237
Phone (281) 540-7764

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
I20040308000227 TX Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 9830087352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Texas Medical School at San Antonio, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allergy and ENT Associates PLLCGroup PAC ID 4688660715, 31 clinicians

Practice addresses (Care Compare)

23543 Kingsland Blvd
Suite 100
Katy, TX 77494-3962
Phone (281) 693-0084

25250 Northwest Fwy
Suite 100
Cypress, TX 77429-1075
Phone (281) 970-7788

518 W 11TH St
Suite 100
Houston, TX 77008-6710
Phone (281) 914-4762

561 W Medical Ctr Blvd
Webster, TX 77598-4240
Phone (281) 332-2348

9223 Broadway St
Suite 103
Pearland, TX 77584-9759
Phone (281) 412-7111

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & ENT Associates, PLLC Allergy & Immunology CurrentSince Sep 5, 2005 Accepting new patients
Austin Family Allergy & Asthma, PA Allergy & Immunology CurrentSince Sep 5, 2005 Accepting new patients
Allergy & ENT Associates, PLLC Allergy & Immunology Current Accepting new patients

Locations

2802 Garth Rd
Ste 309
Baytown, TX 77521
Phone (281) 425-9313

14800 Frye Rd
Fl 2
Ft Worth, TX 76155

1850 W Lake Houston Pkwy
Ste 100
Kingwood, TX 77339
Phone (281) 540-7764

9223 Broadway St
Ste 103
Pearland, TX 77584
Phone (281) 412-7111

9301 Pinecroft Dr
Ste 100
The Woodlands, TX 77380
Phone (281) 364-1001

561 W Medical Center Blvd
Ste G
Webster, TX 77598
Phone (281) 332-2348

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1548259922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 W LAKE HOUSTON PKWY",
            "address_2": "SUITE 100",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773395237",
            "telephone_number": "281-540-7764",
            "fax_number": "281-359-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 W LAKE HOUSTON PKWY",
            "address_2": "SUITE 100",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773395237",
            "telephone_number": "281-540-7764",
            "fax_number": "281-359-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "KELVIN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "L6179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.