Individual provider Active NPI

Shan Jiang, MD

  • Obstetrics & Gynecology Physician
  • Sugar Land, TX
National Provider Identifier
1740774066
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
T5587 Issued in TX
Practice address
16659 Southwest Fwy Ste 235
Sugar Land, TX 77479-2372
Phone
(346) 874-2060
Fax
(346) 874-2061
NPI assigned
Jun 20, 2018
Last updated
Aug 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X T5587 TX Primary
Obstetrics & Gynecology Physician 207V00000X BP10063409 TX

Addresses

Primary practice location

16659 Southwest Fwy Ste 235
Sugar Land, TX 77479-2372

Mailing address

16659 Southwest Fwy Ste 235
Sugar Land, TX 77479-2372
Phone (346) 874-2060

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
I20220806000486 TX Practitioner - Obstetrics/Gynecology 8628317468 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2018
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
Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians

Practice addresses (Care Compare)

16659 Southwest Fwy
Suite 235
Sugar Land, TX 77479-2372
Phone (281) 980-2717

16811 Southwest Fwy
Suite 200
Sugar Land, TX 77479-4728
Phone (281) 690-4678

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10063409TXMDObstetrics & Gynecology Physician
T5587TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC Multi-Specialty CurrentSince Sep 6, 2022 Accepting new patients
TMH Physician Associates PLLC Multi-Specialty CurrentSince Sep 6, 2022 Accepting new patients
Houston Methodist Specialty Physicians Multi-Specialty CurrentSince Jan 1, 2026 Accepting new patients
Methodist Health Centers Past Accepting new patients
Houston Methodist Past Accepting new patients

Locations

6565 Fannin St
#623
Houston, TX 77030
Phone (713) 363-8584

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

16659 Southwest Fwy
Ste 235
Sugar Land, TX 77479
Phone (281) 980-2717

16811 Southwest Fwy
Ste 200
Sugar Land, TX 77479
Phone (281) 690-4678

Interoperability endpoints

  • Direct secure messaging: sjiang409441@directhoustonmethodist.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1740774066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16659 SOUTHWEST FWY STE 235",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792372",
            "telephone_number": "346-874-2060",
            "fax_number": "346-874-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16659 SOUTHWEST FWY STE 235",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792372",
            "telephone_number": "346-874-2060",
            "fax_number": "346-874-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIANG",
        "first_name": "SHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "T5587",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "BP10063409",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.