Individual provider Active NPI

Sanjeev Jatin Shah

  • Otolaryngology Physician
  • Sugar Land, TX
National Provider Identifier
1811316391
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
S1264 Issued in TX
Practice address
16545 Southwest Fwy Ste 100
Sugar Land, TX 77479
Phone
(281) 649-7200
Fax
(281) 491-6704
NPI assigned
Apr 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X S1264 TX Primary

Addresses

Primary practice location

16545 Southwest Fwy Ste 100
Sugar Land, TX 77479

Mailing address

14140 Southwest Fwy Ste 200
Sugar Land, TX 77478-3842
Phone (281) 649-7000

Other practice location 1

16545 Southwest Fwy Ste 100
Sugar Land, TX 77479
Phone (281) 649-7200

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190701000019 TX Practitioner - Otolaryngology 3779817440 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Ear Nose and Throat Clinic LLPGroup PAC ID 3678569860, 31 clinicians
ENT and Allergy Associates of Texas PLLCGroup PAC ID 3870079429, 31 clinicians

Practice addresses (Care Compare)

16545 Southwest Fwy
Suite 100
Sugar Land, TX 77479-2919
Phone (281) 649-7200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.5 of 100Reported as group
Quality
64.9
Promoting interoperability
73
Improvement activities
40
Cost
75.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S1264TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Ear Nose & Throat Clinic LLP Otolaryngology CurrentSince Aug 1, 2019 Accepting new patients
ENT and Allergy Associates of Texas PLLC Otolaryngology CurrentSince Jan 1, 2026 Accepting new patients

Locations

7789 Southwest Fwy
Ste 470
Houston, TX 77074
Phone (281) 649-7000

22999 Highway 59 N
Ste 400
Kingwood, TX 77339
Phone (281) 358-2314

16545 Southwest Fwy
Ste 100
Sugar Land, TX 77479
Phone (281) 649-7200

14140 Southwest Fwy
Ste 200
Sugar Land, TX 77478
Phone (281) 649-7000

Interoperability endpoints

  • Direct secure messaging: sanjeev.shahmd.p1@direct.hent.nextgenshare.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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1811316391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14140 SOUTHWEST FWY STE 200",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783842",
            "telephone_number": "281-649-7000",
            "fax_number": "281-240-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16545 SOUTHWEST FWY STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77479",
            "telephone_number": "281-649-7200",
            "fax_number": "281-491-6704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16545 Southwest Fwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "77479",
            "country_code": "US",
            "telephone_number": "281-649-7200",
            "fax_number": "281-491-6704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SANJEEV",
        "middle_name": "JATIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "S1264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.