Active NPI
Pranav B Shukla, MD
- Emergency Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- N9129
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.094961 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sugarland Emergency Physicians PA | Emergency Medicine | Current | Accepting new patients |
| Om Aastha, LLC | Current | 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.
-
- Emergency Medicine Physician
- Sugar Land, TX
- NPI 1417178120
-
- Primary Care Clinic/Center
- Houston, TX
- NPI 1528602687
-
- Plastic Surgery Physician
- Houston, TX
- NPI 1255261053
-
- Emergency Medicine Physician
- Willoughby, OH
- NPI 1801105366
-
- Physician Assistant
- Willoughby, OH
- NPI 1033429808
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.