Individual provider Active NPI

Yousra Shahab, MD

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1669979704
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
T9796 Issued in TX
Practice address
10623 Bellaire Blvd Ste C280
Houston, TX 77072-5242
Phone
(713) 486-5900
NPI assigned
Apr 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A174530 CA
Pediatrics Physician 208000000X T9796 TX Primary

Addresses

Primary practice location

10623 Bellaire Blvd Ste C280
Houston, TX 77072-5242

Mailing address

3636 W Dallas St Unit 533
Houston, TX 77019-1779
Phone (347) 963-2832

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
I20221114002114 TX Practitioner - Pediatric Medicine 1850638057 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A174530CAMDPediatrics Physician
T9796TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Oct 17, 2022 Accepting new patients
Ut Physicians Pediatrics CurrentSince Oct 17, 2022 Accepting new patients

Locations

10623 Bellaire Blvd
#C280
Houston, TX 77072
Phone (713) 486-5900

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

10623 Bellaire Blvd
Ste C280
Houston, TX 77072
Phone (713) 486-5900

Interoperability endpoints

  • Direct secure messaging: yshahab586097@direct.ochin.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1669979704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 W DALLAS ST UNIT 533",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770191779",
            "telephone_number": "347-963-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10623 BELLAIRE BLVD STE C280",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770725242",
            "telephone_number": "713-486-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHAB",
        "first_name": "YOUSRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A174530",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "T9796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.