Active NPI
Syed Nayyar Shah, MD
- Clinical Cardiac Electrophysiology Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- L0931
- Practice address
- 1001 12TH Ave Ste 134
Fort Worth, TX 76104-3927 - Phone
- (817) 880-6620
- Fax
- (817) 880-6621
- NPI assigned
- May 15, 2006
- Last updated
- May 22, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | L0931 | TX | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | L0931 | TX | Primary |
Addresses
Primary practice location
1001 12TH Ave Ste 134
Fort Worth, TX 76104-3927
Mailing address
1001 12TH Ave Ste 134
Fort Worth, TX 76104-3927
Phone (817) 880-6620
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86466K | Other | TX | BCBS |
| 10032328 | Other | TX | AMERIGROUP |
| 1050387-01 | Medicaid | TX | |
| 5919753 | Other | TX | AETNA PROVIDER ID |
| 1050387-02 | Medicaid | TX | |
| 310501YT79 | Other | TX | MEDICARE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 12TH Ave
Suite 134
Fort Worth, TX 76104-3927
Phone (817) 368-6480
Hospital & facility affiliations
- Medical City Fort Worth
- Baylor Scott & White Heart & Vascular Hospital - Dallas
- Lake Granbury Medical Center
- Glen Rose Medical Center
- Comanche County Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 68.07
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.03
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.12 of 100
- Quality
- 59.84
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 72.5
Merit-based Incentive Payment System (MIPS)
- Final score
- 11.46 of 100
- Quality
- 20
- Improvement activities
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 36 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiology and Electrophysiology Clinic Fort Worth PC | Cardiovascular Disease | Current | Accepting new patients |
| Cardiac Cath Lab of Fort Worth LP | Current | Accepting new patients | |
| Cardiac Imaging Inc | Current | Accepting new patients | |
| Fort Worth Heart, P.a. | Current | Accepting new patients | |
| Hood Medical Group | Past | Accepting new patients | |
| Elite Orthopaedics of Irving PLLC | Past | Accepting new patients |
Locations
1001 12th Ave
Ste 134
Ft Worth, TX 76104
Phone (817) 368-6480
1900 Mistletoe Blvd
Ste 100
Ft Worth, TX 76104
Phone 8173381300236
6949 Bryant Irvin Rd
Ft Worth, TX 76132
Phone (817) 332-1818
6949 Bryant Irvin Rd
Ste 110
Ft Worth, TX 76132
Phone (817) 332-1818
1008 NE Big Bend Trl
Ste 400
Glen Rose, TX 76043
Phone (682) 936-2544
1312 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-1855
2003 Rockview Dr
Granbury, TX 76049
Phone (817) 279-0399
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AHDDDD/Endpoint/AHDDDD
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Texas Health Heart & Vascular Hospital | Hospital | Other (1.05%) | Sep 10, 2015 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Texas Health Heart & Vascular Hospital Arlington
- Special Hospital
- Arlington, TX
- NPI 1407169196
Other
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Cardiac Electrophysiology Physician
- Fort Worth, TX
- NPI 1215704291
Cardiovascular Disease
-
dba Heart and Vascular Center of Fort Worth
- Multi-Specialty Clinic/Center
- Fort Worth, TX
- NPI 1649510991
-
- Medical Specialty Clinic/Center
- Fort Worth, TX
- NPI 1801939244
-
- Mobile Radiology Clinic/Center
- Oakbrook Terrace, IL
- NPI 1770830606
-
- Orthopaedic Surgery Physician
- Irving, TX
- NPI 1982892105
-
- Rural Health Clinic/Center
- Granbury, TX
- NPI 1386341535
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Medical City Fort Worth
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1659323772
-
- Critical Access Hospital
- Comanche, TX
- NPI 1346544616
-
dba Lake Granbury Medical Center
- General Acute Care Hospital
- Granbury, TX
- NPI 1114998911
-
dba Glen Rose Medical Center
- Rural Acute Care Hospital
- Glen Rose, TX
- NPI 1700826575
-
dba Baylor Scott & White Heart and Vascular Hospital - Dallas
- General Acute Care Hospital
- Dallas, TX
- NPI 1609855139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1720039480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 12TH AVE STE 134",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043927",
"telephone_number": "817-880-6620",
"fax_number": "817-880-6621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 12TH AVE STE 134",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043927",
"telephone_number": "817-880-6620",
"fax_number": "817-880-6621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "SYED",
"middle_name": "NAYYAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "L0931",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "TX",
"license": "L0931",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "86466K",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10032328",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1050387-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER ID",
"identifier": "5919753",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1050387-02",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "310501YT79",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.