Individual provider Active NPI

Shailesh Mori, M.D.

  • Anesthesiology Physician
  • Bedford, TX
National Provider Identifier
1710964168
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
J4375 Issued in TX
Practice address
1600 Hospital Pkwy
Bedford, TX 76022-6913
Phone
(817) 355-7800
Fax
(817) 355-7805
NPI assigned
Dec 28, 2005
Last updated
Oct 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X J4375 TX Primary

Addresses

Primary practice location

1600 Hospital Pkwy
Bedford, TX 76022-6913

Mailing address

PO Box 650426
Dallas, TX 75265-0426
Phone (972) 715-5007

Other identifiers 2

IdentifierTypeStateIssuer
118508402MedicaidTX
118508401MedicaidTX

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
I20100616000089 TX Practitioner - Anesthesiology 2466582598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Southwestern Medical School at Dallas, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
U S Anesthesia Partners of Texas, PAGroup PAC ID 7315850351, 2,750 clinicians

Practice addresses (Care Compare)

7600 Beechnut St
Houston, TX 77074-4302
Phone (713) 620-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.94 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
U S Anesthesia Partners of Texas, PA Anesthesiology CurrentSince May 1, 2014 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Anesthesiology CurrentSince May 1, 2014 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 776-3185

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

3500 W Wheatland Rd
#M
Dallas, TX 75237
Phone (214) 947-7699

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

4500 Medical Center Dr
McKinney, TX 75069
Phone (972) 547-8190

4401 Booth Calloway Rd
Richland Hls, TX 76180
Phone (817) 255-1000

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224201600000",
    "number": "1710964168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650426",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650426",
            "telephone_number": "972-715-5007",
            "fax_number": "972-715-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HOSPITAL PKWY",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226913",
            "telephone_number": "817-355-7800",
            "fax_number": "817-355-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORI",
        "first_name": "SHAILESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2008-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "J4375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118508402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118508401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.