Individual provider Active NPI

Shirley Orock Ayuk-Takem, D.O.

  • Critical Care Medicine (Internal Medicine) Physician
  • Cypress, TX
National Provider Identifier
1710249826
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
R4663 Issued in TX
Practice address
18618 Southard Oaks Dr
Cypress, TX 77429-7769
Phone
(281) 671-7636
NPI assigned
Jun 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101020092 MI
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 25MB09707700 NJ
Critical Care Medicine (Internal Medicine) Physician 207RC0200X OS0184466 PA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A-2143-18 NM
Critical Care Medicine (Internal Medicine) Physician 207RC0200X R4663 TX Primary

Addresses

Primary practice location

18618 Southard Oaks Dr
Cypress, TX 77429-7769

Mailing address

18618 Southard Oaks Dr
Cypress, TX 77429
Phone (215) 833-9637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, TX, NM3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160127002454 NJ Practitioner - Family PracticePractitioner - Critical Care (Intensivists) 9436452257
I20180406000204 TX Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 9436452257 Reassigns benefits to 3 organizations
I20180605000729 NM Practitioner - HospitalistPractitioner - Internal Medicine 9436452257

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wael Asi MD PAGroup PAC ID 8820082233, 31 clinicians

Practice addresses (Care Compare)

1111 Medical Plaza Dr
Suite 250
The Woodlands, TX 77380-3477
Phone (281) 296-8788

Hospital & facility affiliations

  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101020092MIMDInternal Medicine Physician
A-2143-18NMMDCritical Care Medicine (Internal Medicine) Physician
OS0184466PAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuview Health Texas PA Critical Care Medicine CurrentSince May 16, 2019 Accepting new patients
Wael Asi MD PA Internal Medicine CurrentSince May 1, 2019 Accepting new patients
Soleil Medical Group, PC Internal Medicine CurrentSince Feb 12, 2023 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Mar 1, 2021 Accepting new patients
Inspira Health Network Medical Group, P.C. Past Accepting new patients
Memorial Hermann Health System Past Accepting new patients

Locations

1125 Cypress Station Dr
Ste E
Houston, TX 77090
Phone (281) 419-5818

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

1111 Medical Plaza Dr
Ste 250
The Woodlands, TX 77380
Phone (281) 419-5818

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1710249826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18618 SOUTHARD OAKS DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "77429",
            "telephone_number": "215-833-9637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18618 SOUTHARD OAKS DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774297769",
            "telephone_number": "281-671-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYUK-TAKEM",
        "first_name": "SHIRLEY",
        "middle_name": "OROCK",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101020092",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MB09707700",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "OS0184466",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NM",
            "license": "A-2143-18",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "R4663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.