Shawn Mathur, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

R6827 Issued in TX

Practice address

1702 FM 1960 Bypass Rd E
Humble, TX 77338-3916

Phone

(281) 446-7173

Fax

(281) 812-2778

NPI assigned

May 20, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Urology

Education

Baylor College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mehta Medical Group PLLCGroup PAC ID 0941236301, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shawn.mathur@wellspire.eclinicaldirectplus.com

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.

• Mehta Medical Group PLLC

  • Internal Medicine Physician
  • Humble, TX
  • NPI 1780708321

  Surgery

  Medicare reassignment Care Compare group NPD

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

• Memorial Hermann Health System

  • General Acute Care Hospital
  • Humble, TX
  • NPI 1295843787
  Care Compare affiliation

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1760828586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 FM 1960 BYPASS RD E",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773383916",
            "telephone_number": "281-446-7173",
            "fax_number": "281-812-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 FM 1960 BYPASS RD E",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773383916",
            "telephone_number": "281-446-7173",
            "fax_number": "281-812-2778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17903 W Lake Houston Pkwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "77346",
            "country_code": "US",
            "telephone_number": "281-812-1846",
            "fax_number": "281-812-2778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHUR",
        "first_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-20",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "R6827",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "R6827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "R6827",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Massoud Bina M.D.P.a.
• Lynn Ann Mast, PTA
• Mate-Kole Medical Group, LLC
• Cheryl L Mathew
• Morgan Brooke Mathews, FNP-C
• Emile Mathurin Jr., M.D.
• Karen Matos, M.D., F.A.A.P.
• Matriarch Consulting Services LLC
• Atul Matta, M.D.
• Alexis Matthews

• Urology Physician in Humble, TX
• Providers in Humble, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.

Verify at the official NPI Registry.