Individual provider Active NPI

Shilpa Vaidya, MD

  • Internal Medicine Physician
  • The Woodlands, TX
National Provider Identifier
1730105560
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M3101 Issued in TX
Practice address
6704 Sterling Ridge Dr
Suite a
The Woodlands, TX 77382-2799
Phone
(281) 737-2611
Fax
(936) 273-2100
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M3101 TX Primary

Addresses

Primary practice location

6704 Sterling Ridge Dr
Suite a
The Woodlands, TX 77382-2799

Mailing address

6704 Sterling Ridge Dr
Suite a
The Woodlands, TX 77382-2799
Phone (281) 737-2611

Other identifiers 6

IdentifierTypeStateIssuer
202642903MedicaidTX
202642902MedicaidTX
00J21AOtherTXGROUP MEDICARE
094010801OtherTXGROUP MEDICAID
8FT541OtherTXBLUE CROSS BLUE SHIELD
8S3659OtherTXBCBS

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
I20090116000086 TX Practitioner - Internal Medicine 2961423645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians

Practice addresses (Care Compare)

21105 Eva St
100 Houston Methodist Primary Care Group
Montgomery, TX 77356-1706
Phone (936) 597-8585

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M3101TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC Internal Medicine CurrentSince Mar 1, 2016 Accepting new patients
TMH Physician Associates PLLC CurrentSince Mar 1, 2016 Accepting new patients
Suzanne Curtis Gray MD Past Accepting new patients

Locations

6550 Fannin St
Ste 1150
Houston, TX 77030
Phone (713) 441-2670

6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633

21105 Eva St
Ste 100
Montgomery, TX 77356
Phone (936) 597-8585

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

6704 Sterling Ridge Dr
Ste A
The Woodlands, TX 77382
Phone (281) 210-1200

Interoperability endpoints

  • Direct secure messaging: svaidya15161@directhoustonmethodist.org

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1730105560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6704 STERLING RIDGE DR",
            "address_2": "SUITE A",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822799",
            "telephone_number": "281-737-2611",
            "fax_number": "936-273-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6704 STERLING RIDGE DR",
            "address_2": "SUITE A",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822799",
            "telephone_number": "281-737-2611",
            "fax_number": "936-273-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAIDYA",
        "first_name": "SHILPA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M3101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202642903",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202642902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "00J21A",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "094010801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8FT541",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8S3659",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.