Individual provider Active NPI

Islam Mohamed Shatla, MD

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Galveston, TX
National Provider Identifier
1750943643
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X
License
W5560 Issued in TX
Practice address
400 Harborside Dive Primary Care Pavillion
Suite 112
Galveston, TX 77555-0001
Phone
(409) 762-2328
Fax
(409) 812-2282
NPI assigned
Jul 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD20593 RI
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X W5560 TX Primary
Internal Medicine Physician 207R00000X 04-46397 KS
Student in an Organized Health Care Education/Training Program 390200000X 2019018926 MO

Addresses

Primary practice location

400 Harborside Dive Primary Care Pavillion
Suite 112
Galveston, TX 77555-0001

Mailing address

400 Harborside Dive Primary Care Pavillion
Suite 112
Galveston, TX 77555-0001
Phone (409) 762-2328

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-46397KSMDInternal Medicine Physician
MD20593RIMDCardiovascular Disease Physician

Interoperability endpoints

  • Direct secure messaging: ishatla699520@direct.kuha.org

NPI Registry JSON

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1750943643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HARBORSIDE DIVE PRIMARY CARE PAVILLION",
            "address_2": "SUITE 112",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550001",
            "telephone_number": "409-762-2328",
            "fax_number": "409-812-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HARBORSIDE DIVE PRIMARY CARE PAVILLION",
            "address_2": "SUITE 112",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550001",
            "telephone_number": "409-762-2328",
            "fax_number": "409-812-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHATLA",
        "first_name": "ISLAM",
        "middle_name": "MOHAMED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-01",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "RI",
            "license": "MD20593",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "TX",
            "license": "W5560",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-46397",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MO",
            "license": "2019018926",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.