Organization Active NPI

Baytown Family Practice PA

  • Family Medicine Physician
  • Baytown, TX
National Provider Identifier
1619683539
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BAYTOWN FAMILY PRACTICE PA
Practice address
1618 W Baker Rd Ste B
Baytown, TX 77521-2280
Phone
(281) 837-0846
Fax
(281) 837-6186
NPI assigned
Jan 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Dr. Shahina Q Ali, MDNPI 1972587889
Title
Owner
Phone
(281) 837-0846

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1618 W Baker Rd Ste B
Baytown, TX 77521-2280

Mailing address

1618 W Baker Rd Ste B
Baytown, TX 77521-2280
Phone (281) 837-0846

Other identifiers 1

IdentifierTypeStateIssuer
111878801MedicaidTX

Other names 1

  • BAYTOWN FAMILY PRACTICE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230223000008 TX Part B Supplier - Clinic/Group Practice 5294108262 Receives reassigned benefits from 1 practitioner
Practice locations: Baytown, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1619683539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 W BAKER RD STE B",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212280",
            "telephone_number": "281-837-0846",
            "fax_number": "281-837-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 W BAKER RD STE B",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212280",
            "telephone_number": "281-837-0846",
            "fax_number": "281-837-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYTOWN FAMILY PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "SHAHINA",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-837-0846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111878801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAYTOWN FAMILY PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.