Active NPI
Prasun Pushkarray Shah, MD
- Gastroenterology Physician
- Shenandoah, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- R6900
- Practice address
- 9180 Pinecroft Dr Ste 401
Shenandoah, TX 77380-3899 - Phone
- (713) 897-7621
- NPI assigned
- Apr 19, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | R6900 | TX | Primary |
Addresses
Primary practice location
9180 Pinecroft Dr Ste 401
Shenandoah, TX 77380-3899
Mailing address
930 Frostwood Dr Ste 2.200
Houston, TX 77024-2450
Phone (713) 338-5502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R6900 | Other | TX | MEDICAL BOARD |
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
- Gastroenterology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1801 N Loop W
Suite 30
Houston, TX 77008-1445
Phone (713) 802-9781
915 Gessner Rd
Suite 100
Houston, TX 77024-2537
Phone (713) 242-2222
9180 Pinecroft Dr
Shenandoah, TX 77380-3899
9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone (713) 897-2307
Hospital & facility affiliations
- Memorial Hermann Hospital System
- Memorial Hermann Northeast Hospital
- CHI St Lukes Health Memorial Livingston
- Memorial Hermann Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 94 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 256 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hermann Medical Group | Gastroenterology | Current | Accepting new patients |
Locations
1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800
930 Frostwood Dr
Ste 2200
Houston, TX 77024
1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781
915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222
3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876
9180 Pinecroft Dr
Ste 401
Shenandoah, TX 77380
Phone (419) 699-4384
Interoperability endpoints
- pshah66768@memorialhermann.direct-ci.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Fulshear, TX
- NPI 1003985102
Gastroenterology
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Humble, TX
- NPI 1295843787
-
- Rehabilitation Hospital Unit
- Houston, TX
- NPI 1669414884
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
- Rural Acute Care Hospital
- Livingston, TX
- NPI 1689650616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1720575293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 FROSTWOOD DR STE 2.200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770242450",
"telephone_number": "713-338-5502",
"fax_number": "713-338-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9180 PINECROFT DR STE 401",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773803899",
"telephone_number": "713-897-7621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "PRASUN",
"middle_name": "PUSHKARRAY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-19",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "R6900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL BOARD",
"identifier": "R6900",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.