Organization Active NPI

Heart Disease Center, PA

  • Clinic/Center
  • Spring, TX
National Provider Identifier
1558529461
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HEART DISEASE CENTER, PA
Practice address
5501 Louetta Rd Ste D
Spring, TX 77379-7868
Phone
(281) 257-2020
Fax
(281) 257-2026
NPI assigned
May 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Authorized official

Name
Dr. Sandy N Shah, D.O.NPI 1639242266
Title
Owner
Phone
(281) 257-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

5501 Louetta Rd Ste D
Spring, TX 77379-7868

Mailing address

PO Box 62837
Houston, TX 77205-2801
Phone (281) 257-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090108000328 TX Part B Supplier - Clinic/Group Practice 1951464585 Receives reassigned benefits from 1 practitioner
Practice locations: Spring, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1558529461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62837",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772052801",
            "telephone_number": "281-257-2020",
            "fax_number": "281-257-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 LOUETTA RD STE D",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797868",
            "telephone_number": "281-257-2020",
            "fax_number": "281-257-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART DISEASE CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-257-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.