Gregory L. Shannon, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

K7479 Issued in TX

Practice address

17510 W Grand Pkwy S
#220
Sugar Land, TX 77479-2645

Phone

(281) 201-1338

Fax

(281) 201-1353

NPI assigned

Mar 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Internal MedicineAlso: Gastroenterology

Education

Northwestern University Feinberg Medical School, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Gastroenterology Associates of Texas PAGroup PAC ID 3779587373, 2 clinicians

Houston Regional Gastroenterology Institute PLLCGroup PAC ID 9436417672, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hermann Sugar Land Hospital Hospital, Sugar Land, TX, CCN 450848
• Houston Methodist Sugarland Hospital Hospital, Sugar Land, TX, CCN 450820

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17937/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/HFHEBD/Endpoint/HFHEBD

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.

• Gastroenterology Associates of Texas PA

  • Specialist
  • Sugar Land, TX
  • NPI 1447362132
  Medicare reassignment Care Compare group NPD Authorized official
• Houston Regional Gastroenterology Institute PLLC

  • Gastroenterology Physician
  • Sugar Land, TX
  • NPI 1326587643
  Medicare reassignment Care Compare group NPD
• Hpanesthesia PLLC

  • Anesthesiology Physician
  • Sugar Land, TX
  • NPI 1528585916
  NPD
• GLS Uap Sugarland, LLC

  • Certified Registered Nurse Anesthetist
  • Sugar Land, TX
  • NPI 1992129795
  NPD (past)
• Village Chiropractic and Wellness P.L.L.C.

  • Chiropractor
  • League City, TX
  • NPI 1972750719
  NPD (past)
• Carolina Digestive Health Associates, PA

  • Ambulatory Surgical Clinic/Center
  • Charlotte, NC
  • NPI 1063584415
  NPD (past)
• Laboratory Corporation of America

  • Clinical Medical Laboratory
  • Walla Walla, WA
  • NPI 1972485621
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Hermann Health System

  • General Acute Care Hospital
  • Sugar Land, TX
  • NPI 1295788735
  Care Compare affiliation
• Methodist Health Centers

  • General Acute Care Hospital
  • Sugar Land, TX
  • NPI 1497871628
  Care Compare affiliation

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1730148495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17510 W GRAND PKWY S",
            "address_2": "#220",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792645",
            "telephone_number": "281-201-1338",
            "fax_number": "281-201-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17510 W GRAND PKWY S",
            "address_2": "#220",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792645",
            "telephone_number": "281-201-1338",
            "fax_number": "281-201-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "GREGORY",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036-107804",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "2001-1396",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "K7479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nabeel Kamal Shalan, MD
• Shalom Health Care Services, Inc.
• Shan-Pham Diversified Holdings, Inc
• Shan-Pham Diversified Holdings, Inc
• Kesavan Shan, MD, FACC
• Meaghan Shannon
• Tanisha Shannon
• Victoria Shannon, DPT
• Shaping Success LLC
• Herbert Jules Shapiro, MS DC CCSP

• Gastroenterology Physician in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.

Verify at the official NPI Registry.