Active NPI
Shannon Rae Sayyadioskoie, MD
- Dermatology Physician
- Houston, TX
National Provider Identifier
1740921220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- BP20083077
- Practice address
- 1 Baylor PLZ
Houston, TX 77030-3411 - Phone
- (713) 798-4951
- NPI assigned
- Apr 6, 2022
- Last updated
- Jul 18, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | BP20083077 | TX | Primary |
Addresses
Primary practice location
1 Baylor PLZ
Houston, TX 77030-3411
Mailing address
1 Baylor PLZ
Houston, TX 77030-3498
Other names 1
- Shannon Rae Scroggins
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP20083077 | TX | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1740921220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BAYLOR PLZ",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BAYLOR PLZ",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303411",
"telephone_number": "713-798-4951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAYYADIOSKOIE",
"first_name": "SHANNON",
"middle_name": "RAE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-06",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "BP20083077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "SCROGGINS",
"middle_name": "RAE",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Houston, TX
- Farzana Sayani, OPTICIAN
- Timothy D. Saye, MD
- Sayed Feghali Cardiology Assn
- Fatima Sayed
- George Stone Sayre Jr., D.D.S.
- Saza Counseling and Supervision, PLLC
- Fatma Cemre Sazak Kundi
- Yaroslava Yuryevna Sazonova, NP
- Sbah Cardiology Associates, PLLC
- SBM Diagnostics, Inc. (Southwest Diagnostics and Rehab)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.