Organization Active NPI

Bhadresh B Shah MD PA

  • Pulmonary Disease Physician
  • Sugar Land, TX
National Provider Identifier
1699974709
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
K1924 Issued in TX
Legal business name
BHADRESH B SHAH MD PA
Practice address
4780 Sweetwater Blvd Ste 150
Sugar Land, TX 77479-3165
Phone
(281) 242-2444
Fax
(281) 242-2448
NPI assigned
Jul 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Bhadresh B Shah, M.D.
Title
President
Phone
(281) 242-2444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X K1924 TX Primary

Addresses

Primary practice location

4780 Sweetwater Blvd Ste 150
Sugar Land, TX 77479-3165

Mailing address

4780 Sweetwater Blvd Ste 150
Sugar Land, TX 77479-3165
Phone (281) 242-2444

Other identifiers 2

IdentifierTypeStateIssuer
0066LWOtherTXBCBSTX
171997301MedicaidTX

National Provider Directory

National Provider Directory

Locations

4780 Sweetwater Blvd
Ste 150
Sugar Land, TX 77479
Phone (281) 242-2444

Practitioners & affiliated clinicians

Practitioners 1

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": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1699974709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 SWEETWATER BLVD STE 150",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793165",
            "telephone_number": "281-242-2444",
            "fax_number": "281-242-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 SWEETWATER BLVD STE 150",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793165",
            "telephone_number": "281-242-2444",
            "fax_number": "281-242-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHADRESH B SHAH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "BHADRESH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-242-2444",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "K1924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "0066LW",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171997301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.