Active NPI
Shubha Premnath Shetty, MD
- Family Medicine Physician
- Missouri City, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- N4096
- Practice address
- 4502 Riverstone Blvd
Missouri City, TX 77459-5204 - Phone
- (281) 778-9420
- Fax
- (281) 778-9422
- NPI assigned
- Jul 3, 2008
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | N4096 | TX | Primary |
Addresses
Primary practice location
4502 Riverstone Blvd
Missouri City, TX 77459-5204
Mailing address
4502 Riverstone Blvd
Ste 1003
Missouri City, TX 77459-5209
Phone (713) 798-1835
Other names 1
- Dr. Shubha M Rai
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4502 Riverstone Blvd
Suite 1003
Missouri City, TX 77459-5209
Phone (281) 778-9420
7070 Knights CT
Suite 1402
Missouri City, TX 77459-5498
Phone (281) 778-9420
Hospital & facility affiliations
- Memorial Hermann Sugar Land Hospital
- Memorial Hermann Hospital System
- Houston Methodist Sugarland Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shubha P Shetty MD PA | Family Medicine | Current | Accepting new patients |
| Utmb Faculty Group Practice | Current | Accepting new patients |
Locations
2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001
7070 Knights Ct
Ste 1402
Missouri City, TX 77459
Phone (281) 778-9420
4502 Riverstone Blvd
Missouri City, TX 77459
Phone (281) 903-7613
4502 Riverstone Blvd
Ste 1003
Missouri City, TX 77459
Phone (281) 748-9420
17448 Highway 3
Ste 200
Webster, TX 77598
Phone (832) 505-1748
Interoperability endpoints
- sshetty19995@memorialhermann.direct-ci.com
- shubha.shetty@rfmd.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Missouri City, TX
- NPI 1245682384
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sugar Land, TX
- NPI 1295788735
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
- General Acute Care Hospital
- Sugar Land, TX
- NPI 1497871628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1760645295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4502 RIVERSTONE BLVD",
"address_2": "STE 1003",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774595209",
"telephone_number": "713-798-1835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4502 RIVERSTONE BLVD",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774595204",
"telephone_number": "281-778-9420",
"fax_number": "281-778-9422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHETTY",
"first_name": "SHUBHA",
"middle_name": "PREMNATH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-03",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "N4096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHUBHA",
"last_name": "RAI",
"middle_name": "M",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Missouri City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.