Individual provider Active NPI

Saman P Javedan, M.D.

  • Neurological Surgery Physician
  • Shenandoah, TX
National Provider Identifier
1730155052
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
S5192 Issued in TX
Practice address
9180 Pinecroft Dr Ste 500
Shenandoah, TX 77380-3883
Phone
(713) 897-5900
Fax
(713) 897-2545
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X ME90211 FL
Neurological Surgery Physician 207T00000X S5192 TX Primary

Addresses

Primary practice location

9180 Pinecroft Dr Ste 500
Shenandoah, TX 77380-3883

Mailing address

9180 Pinecroft Dr Ste 500
Shenandoah, TX 77380-3883
Phone (713) 897-5900

Other practice location 1

27700 Northwest Fwy Ste 360
Cypress, TX 77433-8028
Phone (346) 231-6830

Other identifiers 3

IdentifierTypeStateIssuer
ME90211OtherFLMEDICAL LICENSE
S5192OtherTXMEDICAL LICENSE
269776900MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sjavedan@collierneurologic.com

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
I20200527001442 TX Practitioner - Neurosurgery 0244207991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Johns Hopkins University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MHS Physicians of TexasGroup PAC ID 1557254968, 113 clinicians

Practice addresses (Care Compare)

17510 W Grand Pkwy S
Suite 330
Sugar Land, TX 77479-2648
Phone (281) 238-3770

9180 Pinecroft Dr
Suite 500
Shenandoah, TX 77380-3883
Phone (713) 897-5900

9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone (713) 897-2307

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684
  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068
  • Memorial Hermann Memorial City Hospital Hospital, Houston, TX, CCN 450610

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion26
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S5192TXMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MHS Physicians of Texas CurrentSince Jul 26, 2020 Accepting new patients
MHS Physicians of Texas Neurological Surgery CurrentSince Jul 26, 2020 Accepting new patients
Memorial Hermann Neighborhood Health Centers, PLLC Current Accepting new patients

Locations

27700 NW Freeway
Ste 360
Cypress, TX 77433
Phone (346) 231-6830

909 Frostwood Dr
Ste 1100
Houston, TX 77024
Phone (713) 338-4523

18955 N Memorial Dr
Ste 360
Humble, TX 77338
Phone (281) 319-8530

9180 Pinecroft Dr
Ste 500
Shenandoah, TX 77380
Phone (713) 897-5900

9200 Pinecroft Dr
Ste 130
Shenandoah, TX 77380
Phone (713) 897-5900

17510 W Grand Pkwy S
Ste 330
Sugar Land, TX 77479
Phone (281) 238-3770

Interoperability endpoints

  • Direct secure messaging: sjavedan6374@direct.leememorial.org
  • Direct secure messaging: sjavedan66015@memorialhermann.direct-ci.com

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1730155052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9180 PINECROFT DR STE 500",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803883",
            "telephone_number": "713-897-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9180 PINECROFT DR STE 500",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803883",
            "telephone_number": "713-897-5900",
            "fax_number": "713-897-2545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27700 Northwest Fwy Ste 360",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774338028",
            "country_code": "US",
            "telephone_number": "346-231-6830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAVEDAN",
        "first_name": "SAMAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME90211",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "S5192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME90211",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "S5192",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269776900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sjavedan@collierneurologic.com",
            "affiliation": "N",
            "endpointDescription": "secure address",
            "address_1": "3200 Bailey Ln Ste 200",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341058523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.