Individual provider Active NPI

Shakira Dhamotharan, M.D.

  • Family Medicine Physician
  • Alvin, TX
National Provider Identifier
1699102848
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q8870 Issued in TX
Practice address
2020 E Highway 6
Alvin, TX 77511-8507
Phone
(973) 754-4100
NPI assigned
Oct 2, 2013
Last updated
Feb 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA09355900 NJ
Family Medicine Physician 207Q00000X Q8870 TX Primary

Addresses

Primary practice location

2020 E Highway 6
Alvin, TX 77511-8507

Mailing address

PO Box 650859
Dept 710
Dallas, TX 75265
Phone (409) 772-2222

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
I20160924000301 TX Practitioner - Family Practice 4880822139 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q8870TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shakira Dhamotharan MD PLLC Family Medicine CurrentSince Jul 27, 2026 Accepting new patients
Velasco Inpatient Services PLLC CurrentSince Feb 22, 2025 Accepting new patients
Utmb Faculty Group Practice CurrentSince Aug 11, 2016 Accepting new patients
University of Texas Medical Branch at Galveston PastSince Feb 26, 2023 Accepting new patients

Locations

2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530

132 E Hospital Dr
Angleton, TX 77515
Phone (210) 629-3866

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

301 University Blvd
Fl 6
Galveston, TX 77555

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

7102 Tarrington Ave
Bldg 5
Sugar Land, TX 77479
Phone (713) 902-6028

7102 Tarrington Ave
Ste 503
Sugar Land, TX 77479

Interoperability endpoints

  • Direct secure messaging: excellucofnj.shakiradhamotharan@128645.advancedmd-direct.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IEEAED/Endpoint/IEEAED

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1699102848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650859",
            "address_2": "DEPT 710",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75265",
            "telephone_number": "409-772-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 E HIGHWAY 6",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775118507",
            "telephone_number": "973-754-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHAMOTHARAN",
        "first_name": "SHAKIRA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-02",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09355900",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q8870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alvin, TX

Sources for this page

Verify at the official NPI Registry.