Suma Shetty

Primary specialty

DentistTaxonomy code 122300000X

License

3799M Issued in ME

Practice address

9850 Emmett F Lowry Expy Ste C
Suite C103
Texas City, TX 77591-2001

Phone

(409) 938-2234

Fax

(409) 938-2200

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Coastal Health & Wellness

  • Federally Qualified Health Center (FQHC)
  • Texas City, TX
  • NPI 1578588406

  Dentist

  NPD (past)
• Coastal Health & Wellness

  • Federally Qualified Health Center (FQHC)
  • Texas City, TX
  • NPI 1619667565
  NPD (past)
• Coastal Health & Wellness

  • Federally Qualified Health Center (FQHC)
  • Galveston, TX
  • NPI 1871766584

  Dentist

  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1790871879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 EMMETT F LOWRY EXPY STE C",
            "address_2": "SUITE C103",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775912001",
            "telephone_number": "409-938-2234",
            "fax_number": "409-938-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 EMMETT F LOWRY EXPY STE C",
            "address_2": "SUITE C103",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775912001",
            "telephone_number": "409-938-2234",
            "fax_number": "409-938-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETTY",
        "first_name": "SUMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "3799M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farida Sewielam, DDS
• Taghi Shafie, M.D.
• Kiran H Shah, M.D.
• Ginger Michelle Shelton
• Sherman Nagler
• Sid Acharya MD PA
• Farrah N Siddiqui, MD
• Julie Annette Sifuentes
• Ryan Lawrence Siller, MD
• Terry A Siller, M.D.

• Dentist in Texas City, TX
• Providers in Texas City, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.

Verify at the official NPI Registry.