Individual provider Active NPI

Andy E Shen, M.D.

  • Family Medicine Physician
  • Katy, TX
National Provider Identifier
1578734349
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N4089 Issued in TX
Practice address
21700 Kingsland Blvd
Suite 201
Katy, TX 77450
Phone
(281) 398-7954
Fax
(281) 578-7425
NPI assigned
Mar 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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 N4089 TX Primary

Addresses

Primary practice location

21700 Kingsland Blvd
Suite 201
Katy, TX 77450

Mailing address

21700 Kingsland Blvd
Ste 201
Katy, TX 77450
Phone (281) 398-7954

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
I20101217000062 TX Practitioner - Family PracticePractitioner - Sports Medicine 9133317142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Colleagues of Texas LLPGroup PAC ID 5597700203, 12 clinicians

Practice addresses (Care Compare)

21700 Kingsland Blvd
Suite 201
Katy, TX 77450-2547
Phone (281) 398-7954

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N4089TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William a Currie MD PA Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

21700 Kingsland Blvd
Ste 201
Katy, TX 77450
Phone (281) 398-7954

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1578734349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21700 KINGSLAND BLVD",
            "address_2": "STE 201",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450",
            "telephone_number": "281-398-7954",
            "fax_number": "281-578-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21700 KINGSLAND BLVD",
            "address_2": "SUITE 201",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450",
            "telephone_number": "281-398-7954",
            "fax_number": "281-578-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "ANDY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-19",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N4089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.