Individual provider Active NPI

Shiva Satish, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Sugar Land, TX
National Provider Identifier
1629099635
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
J6232 Issued in TX
Practice address
16605 Southwest Fwy
Suite 175
Sugar Land, TX 77479-0003
Phone
(713) 777-5334
Fax
(713) 429-5207
NPI assigned
Jul 22, 2006
Last updated
Sep 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X J6232 TX Primary
Hospitalist Physician 208M00000X J6232 TX

Addresses

Primary practice location

16605 Southwest Fwy
Suite 175
Sugar Land, TX 77479-0003

Mailing address

16605 Southwest Fwy
Suite 175
Sugar Land, TX 77479-0003
Phone (713) 777-5334

Other identifiers 11

IdentifierTypeStateIssuer
5164045OtherTXAETNA
P01071853OtherTXRR MEDICARE
TXB151471OtherTXMEDICARE
0657304OtherTXCIGNA
116899904MedicaidTX
TXB130432OtherTXMEDICARE
116899905OtherTXMEDICAID
P00959960OtherTXRR MEDICARE
116899906OtherTXMEDICAID
8CW374OtherTXBCBS TX
8DK799OtherTXBCBS TX

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
I20101027000219 TX Practitioner - Internal MedicinePractitioner - Geriatric Medicine 8628036241 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1984
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Fort Bend Geriatrics, PAGroup PAC ID 7214075977, 2 clinicians
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians
Houston in Patient Physician Associates PLLCGroup PAC ID 5698951168, 27 clinicians

Practice addresses (Care Compare)

Sugar Land, TX 77479
Phone (832) 684-0321

15200 Southwest Fwy
Suite 175
Sugar Land, TX 77478-3892
Phone (346) 646-3302

4645 Sweetwater Blvd
Suite 200
Sugar Land, TX 77479-3016
Phone (713) 777-5334

4650 Westway Park Blvd
Suite 206
Houston, TX 77041-2006

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J6232TXMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Bend Geriatrics, PA Geriatric Medicine CurrentSince Oct 30, 2009 Accepting new patients
Village Family Practice, L.L.P CurrentSince Jan 1, 2023 Accepting new patients
Villagemd of Southeast Texas, PA CurrentSince Jan 1, 2023 Accepting new patients
Houston in Patient Physician Associates PLLC Geriatric Medicine CurrentSince Jun 6, 2011 Accepting new patients

Locations

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

1106 Golfview Dr
Richmond, TX 77469
Phone (281) 344-9191

1111 Highway 6
Ste 194
Sugar Land, TX 77478
Phone (281) 565-1112

11529 S Highway 6
Sugar Land, TX 77498
Phone (832) 376-3921

15200 Southwest Fwy
Ste 175
Sugar Land, TX 77478
Phone (281) 494-0550

15200 Southwest Fwy
Ste 180
Sugar Land, TX 77478
Phone (281) 201-8737

16605 Southwest Fwy
Ste 175
Sugar Land, TX 77479
Phone (281) 565-1112

225 Matlage Way
#230
Sugar Land, TX 77478

4645 Sweetwater Blvd
Ste 200
Sugar Land, TX 77479
Phone (281) 565-1112

Interoperability endpoints

  • Direct secure messaging: shiva.satish.1@13711.direct.athenahealth.com
  • Direct secure messaging: ssatish33689@directhoustonmethodist.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Choice Health at HomeTexas City, TX, CCN 451624 Hospice Contracted Managing Employee
Operational/Managerial Control
Dec 12, 2023
Dec 12, 2023
Choice HospiceBeaumont, TX, CCN 741699 Hospice Contracted Managing Employee Dec 19, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1629099635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16605 SOUTHWEST FWY",
            "address_2": "SUITE 175",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774790003",
            "telephone_number": "713-777-5334",
            "fax_number": "713-429-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16605 SOUTHWEST FWY",
            "address_2": "SUITE 175",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774790003",
            "telephone_number": "713-777-5334",
            "fax_number": "713-429-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATISH",
        "first_name": "SHIVA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "J6232",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "J6232",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5164045",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01071853",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "TXB151471",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0657304",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116899904",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "TXB130432",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "116899905",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00959960",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "116899906",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "8CW374",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "8DK799",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.