Individual provider Active NPI

Pranav B Shukla, MD

  • Emergency Medicine Physician
  • Houston, TX
National Provider Identifier
1578735130
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
N9129 Issued in TX
Practice address
1900 North Loop W Ste 150
Houston, TX 77018
Phone
(832) 509-5099
Fax
(832) 626-1182
NPI assigned
Mar 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.094961 OH
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X N9129 TX Primary

Addresses

Primary practice location

1900 North Loop W Ste 150
Houston, TX 77018

Mailing address

1900 North Loop W Ste 150
Houston, TX 77018-8110
Phone (832) 509-5099

Other practice location 1

6051 Garth Rd
Baytown, TX 77521-9890
Phone (832) 695-2020

Other practice location 2

1900 North Loop W Ste 150
Houston, TX 77018
Phone (832) 509-5099

Other practice location 3

18201 Gulf Fwy Unit C
Webster, TX 77598-3806
Phone (281) 954-6200

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
I20110721000149 TX Practitioner - Emergency Medicine 4284758376 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.094961OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sugarland Emergency Physicians PA Emergency Medicine CurrentSince Nov 18, 2024 Accepting new patients
Om Aastha, LLC CurrentSince Nov 17, 2019 Accepting new patients
Erie Banks Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Ohio Em-I Medical Services, Professional Association Past Accepting new patients
Shinemd Medical Group, PLLC Past Accepting new patients

Locations

1900 North Loop W
Ste 150
Houston, TX 77018
Phone (832) 509-5099

16000 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 277-0911

Organizations & group practices 5

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": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1578735130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 NORTH LOOP W STE 150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770188110",
            "telephone_number": "832-509-5099",
            "fax_number": "832-710-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 NORTH LOOP W STE 150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77018",
            "telephone_number": "832-509-5099",
            "fax_number": "832-626-1182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6051 Garth Rd",
            "address_purpose": "LOCATION",
            "city": "Baytown",
            "state": "TX",
            "postal_code": "775219890",
            "country_code": "US",
            "telephone_number": "832-695-2020",
            "fax_number": "832-695-2022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 North Loop W Ste 150",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77018",
            "country_code": "US",
            "telephone_number": "832-509-5099",
            "fax_number": "832-710-0077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18201 Gulf Fwy Unit C",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775983806",
            "country_code": "US",
            "telephone_number": "281-954-6200",
            "fax_number": "833-213-0893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUKLA",
        "first_name": "PRANAV",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-24",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.094961",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N9129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.