NPIMap

Individual provider Active NPI

James M Shaw, M.D.

  • General Practice Physician
  • Kingwood, TX
National Provider Identifier
1720067382
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
E1128 Issued in TX
Practice address
3111 River Valley Dr
Kingwood, TX 77339-1943
Phone
(281) 706-3175
NPI assigned
Jan 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E1128 TX
Pediatrics Physician 208000000X E1128 TX
General Practice Physician 208D00000X E1128 TX Primary

Addresses

Primary practice location

3111 River Valley Dr
Kingwood, TX 77339-1943

Mailing address

3111 River Valley Dr
Humble, TX 77339-1943
Phone (281) 706-3175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cannon Emergency Physicians Emergency Medicine Past Accepting new patients
Texas Emergency Room Services, PA Emergency Medicine Past Accepting new patients
Bellville Medical Center PastSince Aug 6, 2019 Accepting new patients
Bellville Hospital District Emergency Medicine Past Accepting new patients
Leatherland Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Twin Fountains Urgent Care Center Past Accepting new patients
Gonzales Healthcare Systems Past Accepting new patients
Austin Premier Emergency Physicians Emergency Medicine Past Accepting new patients

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1720067382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 RIVER VALLEY DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773391943",
            "telephone_number": "281-706-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 RIVER VALLEY DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391943",
            "telephone_number": "281-706-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "E1128",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "E1128",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "E1128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.