Active NPI
Shirley Orock Ayuk-Takem, D.O.
- Critical Care Medicine (Internal Medicine) Physician
- Cypress, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- R4663
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160127002454 | NJ | Practitioner - Family Practice | 9436452257 | |
| I20180406000204 | TX | Practitioner - Critical Care (Intensivists) | 9436452257 | Reassigns benefits to 3 organizations |
| I20180605000729 | NM | Practitioner - Hospitalist | 9436452257 |
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101020092 | MI | MD | Internal Medicine Physician |
| A-2143-18 | NM | MD | Critical Care Medicine (Internal Medicine) Physician |
| OS0184466 | PA | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuview Health Texas PA | Critical Care Medicine | Current | Accepting new patients |
| Wael Asi MD PA | Internal Medicine | Current | Accepting new patients |
| Soleil Medical Group, PC | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Texas, PA | Internal Medicine | Current | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.