Active NPI
Shahed Ammar
- Nephrology Physician
- Iowa City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- V4636
- Practice address
- 200 Hawkins Dr
Iowa City, IA 52242-1009 - Phone
- (319) 356-4113
- NPI assigned
- Jan 6, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | R-12321 | IA | |
| Nephrology Physician | 207RN0300X | V4636 | TX | Primary |
Addresses
Primary practice location
200 Hawkins Dr
Iowa City, IA 52242-1009
Mailing address
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-4113
Other practice location 1
1005 Harborside Dr
Fl 6
Galveston, TX 77555-0001
Phone (409) 772-0750
Organizations & group practices 1
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.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Galveston, TX
- NPI 1548226988
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Utmb Faculty Group Practice
Practice addresses (Care Compare)
1005 Harborside Dr FL
Suite 6
Galveston, TX 77555-0001
Phone (409) 772-0122
Hospital & facility affiliations
- University of Texas Medical Branch Galveston
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241119002794 | TX | Practitioner - Nephrology | 6800288499 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utmb Faculty Group Practice | Current | Accepting new patients |
Locations
2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
1005 Harborside Dr
Galveston, TX 77555
Phone (409) 772-0122
511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001
200 Blossom St
Webster, TX 77598
Phone (281) 252-7000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772755200000",
"number": "1700547361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-356-4113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-356-4113"
}
],
"practiceLocations": [
{
"address_1": "1005 Harborside Dr",
"address_2": "Fl 6",
"address_purpose": "LOCATION",
"city": "Galveston",
"state": "TX",
"postal_code": "775550001",
"country_code": "US",
"telephone_number": "409-772-0750",
"fax_number": "409-747-0777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMMAR",
"first_name": "SHAHED",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-06",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IA",
"license": "R-12321",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "V4636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.