Individual provider Active NPI

Shail Maheshwari, MD

  • Gastroenterology Physician
  • Shenandoah, TX
National Provider Identifier
1629230883
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
M7392 Issued in TX
Practice address
129 Vision Park Blvd
# 307
Shenandoah, TX 77384-3001
Phone
(936) 321-5440
Fax
(936) 271-2599
NPI assigned
Jun 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X M7392 TX Primary

Addresses

Primary practice location

129 Vision Park Blvd
# 307
Shenandoah, TX 77384-3001

Mailing address

129 Vision Park Blvd
# 307
Shenandoah, TX 77384-3001
Phone (936) 321-5440

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
I20110721000869 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 5698943462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Texas a & M University System, HSC, College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Partners of North Houston PLLC 10 clinicians

Practice addresses (Care Compare)

129 Vision Park Blvd
Suite 307
Shenandoah, TX 77384-3024
Phone 9363215440135

Hospital & facility affiliations

  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • St Luke'S the Woodlands Hospital Hospital, The Woodlands, TX, CCN 450862
  • Aspire Hospital Hospital, Conroe, TX, CCN 670093
  • Huntsville Memorial Hospital Hospital, Huntsville, TX, CCN 450347

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy283
Upper gastrointestinal (GI) endoscopy for acid reflux260

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Partners of North Houston PLLC Gastroenterology CurrentSince May 1, 2019 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

129 Vision Park Blvd
Ste 307
Shenandoah, TX 77384
Phone (936) 321-5440

Organizations & group practices 2

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 11

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1629230883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 VISION PARK BLVD",
            "address_2": "# 307",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843001",
            "telephone_number": "936-321-5440",
            "fax_number": "936-271-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 VISION PARK BLVD",
            "address_2": "# 307",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843001",
            "telephone_number": "936-321-5440",
            "fax_number": "936-271-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHESHWARI",
        "first_name": "SHAIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "M7392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.