Shoaib Ahmad Rezai

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA14354 Issued in TX

Practice address

104 E Main St
Humble, TX 77338-4513

Phone

(281) 548-7334

NPI assigned

May 19, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18300/brand/1/csg/1/fhir/r4

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.

• Texas Children'S Physician Group

  • Pediatrics Physician
  • Houston, TX
  • NPI 1861675506
  Medicare reassignment
• Northeast Pediatrics Associates of Humble

  • Pediatrics Physician
  • Humble, TX
  • NPI 1528142296
  NPD (past)
• Texas Children'S Hospital

  • Children's Hospital
  • Austin, TX
  • NPI 1194507947
  NPD (past)
• Texas Childrens Hospital

  • Anatomic Pathology & Clinical Pathology Physician
  • Austin, TX
  • NPI 1285403642
  NPD (past)

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1558935080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7717 AVENUE F",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770121241",
            "telephone_number": "832-633-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E MAIN ST",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384513",
            "telephone_number": "281-548-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZAI",
        "first_name": "SHOAIB",
        "middle_name": "AHMAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revana Cardiology Associates, PLLC
• Madaiah Revana, MD PA
• Revolution Pain Management, PLLC
• Elda Maria Reyes Calzado, NP
• Fernanda Reyes
• Auntreek B Rhodes
• Destiny Rhodes
• Cher L Rich, D.D.S.
• Joe M Richards, DDS
• Jolene Renee Richardson, M.ED.,A.T.C., L.A.T.

• Physician Assistant in Humble, TX
• Providers in Humble, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.