Organization Active NPI

Shruja Patel Mdpa

  • Primary Care Clinic/Center
  • Katy, TX
National Provider Identifier
1669006771
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SHRUJA PATEL MDPA
Practice address
25314 Kingsland Blvd
Katy, TX 77494-7254
Phone
(832) 508-6632
Fax
(832) 437-1640
NPI assigned
Feb 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Authorized official

Name
Ms. Shruja Patel, MDNPI 1467708883
Title
President/Owner
Phone
(832) 508-6632

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

25314 Kingsland Blvd
Katy, TX 77494-7254

Mailing address

25314 Kingsland Blvd
Katy, TX 77494-7254
Phone (832) 508-6632

Other names 1

  • Complete Care Physicians Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200513001643 TX Part B Supplier - Clinic/Group Practice 6507297298 Receives reassigned benefits from 4 practitioners
Practice locations: Katy, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2185031Complete Care Physicians25314 Kingsland Blvd, Katy, TX 77494Certificate of waiverMay 27, 2028

National Provider Directory

National Provider Directory

Locations

633 E Fernhurst Dr
Ste 802
Katy, TX 77450
Phone (713) 416-4160

25314 Kingsland Blvd
Katy, TX 77494
Phone (832) 508-6632

5701 4th St
Ste 742
Katy, TX 77493

Practitioners & affiliated clinicians

Practitioners 4

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": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1669006771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25314 KINGSLAND BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947254",
            "telephone_number": "832-508-6632",
            "fax_number": "832-437-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25314 KINGSLAND BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947254",
            "telephone_number": "832-508-6632",
            "fax_number": "832-437-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRUJA PATEL MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHRUJA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "832-508-6632",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Care Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.