Organization Active NPI

Nezar a. Shobassy, M.D.P.a.

  • Gastroenterology Physician
  • Port Arthur, TX
National Provider Identifier
1679574248
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
NEZAR A. SHOBASSY, M.D.P.A.
Practice address
2001 9TH Ave
Ste 305
Port Arthur, TX 77642-2701
Phone
(409) 983-3221
Fax
(409) 983-3222
NPI assigned
Aug 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Nezar Ahmed Shobassy, MDNPI 1265433031
Title
President
Phone
(409) 983-3221

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
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X TX Primary

Addresses

Primary practice location

2001 9TH Ave
Ste 305
Port Arthur, TX 77642-2701

Mailing address

2001 9TH Ave
Ste 305
Port Arthur, TX 77642-2701
Phone (409) 983-3221

Other identifiers 3

IdentifierTypeStateIssuer
00L55BOtherTXBLUE CROSS
083776701MedicaidTX
DG5493OtherTXMEDICARE RAILROAD

Other names 1

  • Gastroenterology Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040901000303 TX Part B Supplier - Clinic/Group Practice 6103891296 Receives reassigned benefits from 1 practitioner
Practice locations: Nederland, TX

National Provider Directory

National Provider Directory

Locations

2400 Highway 365
Ste 203
Nederland, TX 77627
Phone (409) 727-3004

2001 9th Ave
Ste 305
Port Arthur, TX 77642
Phone (409) 983-3221

Practitioners & affiliated clinicians

Practitioners 3

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": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1679574248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 9TH AVE",
            "address_2": "STE 305",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776422701",
            "telephone_number": "409-983-3221",
            "fax_number": "409-983-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 9TH AVE",
            "address_2": "STE 305",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776422701",
            "telephone_number": "409-983-3221",
            "fax_number": "409-983-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEZAR A. SHOBASSY, M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHOBASSY",
        "authorized_official_first_name": "NEZAR",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-983-3221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00L55B",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083776701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DG5493",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gastroenterology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Arthur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.