NPIMap

Organization Active NPI

Heidi Schultz, M.D., P.a.

Doing business as Fulshear Family Medicine

  • Family Medicine Physician
  • Fulshear, TX
National Provider Identifier
1659309441
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HEIDI SCHULTZ, M.D., P.A.
Doing business as
Fulshear Family Medicine
Practice address
7629 Tiki Dr
Fulshear, TX 77441-1548
Phone
(281) 346-0018
Fax
(281) 346-0913
NPI assigned
Jun 29, 2006
Last updated
Feb 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Authorized official

Name
Anisha Waxali, MDNPI 1790773042
Title
Owner
Phone
(281) 346-0018

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

Addresses

Primary practice location

7629 Tiki Dr
Fulshear, TX 77441-1548

Mailing address

600 Jefferson St Ste 404
Lafayette, LA 70501-6991
Phone (281) 346-0018

Other names 1

  • Fulshear Family Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060410000494 TX Part B Supplier - Clinic/Group Practice 8224047824 Receives reassigned benefits from 11 practitioners
Practice locations: Fulshear, TX; Sugar Land, TX

National Provider Directory

National Provider Directory

Locations

7629 Tiki Dr
Fulshear, TX 77441
Phone (281) 346-0018

7629 Tiki Dr
#1093
Fulshear, TX 77441
Phone (281) 346-0018

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1659309441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 JEFFERSON ST STE 404",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705016991",
            "telephone_number": "281-346-0018",
            "fax_number": "281-346-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7629 TIKI DR",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774411548",
            "telephone_number": "281-346-0018",
            "fax_number": "281-346-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIDI SCHULTZ, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "WAXALI",
        "authorized_official_first_name": "ANISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-346-0018",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fulshear Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fulshear, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.