Active NPI
Pankaj Shah, M.D., P.a.
- Allergy & Immunology (Internal Medicine) Physician
- Houston, TX
National Provider Identifier
1679846307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology (Internal Medicine) Physician
- License
- H9712
- Legal business name
- PANKAJ SHAH, M.D., P.A.
- Practice address
- 8200 Wednesbury LN Ste 300
Houston, TX 77074-2932 - Phone
- (281) 342-3342
- Fax
- (281) 342-0833
- NPI assigned
- Feb 10, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pankaj K Shah, M.D.
- Title
- President
- Phone
- (281) 342-3342
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | H9712 | TX | Primary |
| Pulmonary Disease Physician | 207RP1001X | H9713 | TX |
Addresses
Primary practice location
8200 Wednesbury LN Ste 300
Houston, TX 77074-2932
Mailing address
8200 Wednesbury LN Ste 300
Houston, TX 77074-2932
Phone (281) 342-3342
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 295046101 | Medicaid | TX | |
| 295046102 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8200 Wednesbury Ln
Ste 300
Houston, TX 77074
Phone (281) 342-3342
Interoperability endpoints
- https://api.platform.athenahealth.com/22008/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Allergy & Immunology (Internal Medicine) Physician
- Houston, TX
- NPI 1710981113
-
- Internal Medicine Physician
- Houston, TX
- NPI 1609171628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1342483200000",
"number": "1679846307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8200 WEDNESBURY LN STE 300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770742932",
"telephone_number": "281-342-3342",
"fax_number": "281-342-0833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 WEDNESBURY LN STE 300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770742932",
"telephone_number": "281-342-3342",
"fax_number": "281-342-0833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PANKAJ SHAH, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-10",
"last_updated": "2012-07-17",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "PANKAJ",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "281-342-3342",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RA0201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Allergy & Immunology",
"state": "TX",
"license": "H9712",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "H9713",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "295046101",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "295046102",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.