Individual provider Active NPI

Shamoon Ahmed, M.D.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1831138072
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N0597 Issued in TX
Practice address
10019 Main St
Suite A1
Houston, TX 77025-5256
Phone
(713) 666-7000
NPI assigned
Jun 5, 2006
Last updated
Sep 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N0597 TX Primary

Addresses

Primary practice location

10019 Main St
Suite A1
Houston, TX 77025-5256

Mailing address

10019 Main St
Suite A1
Houston, TX 77025-5256
Phone (713) 666-7000

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
I20081124000536 TX Practitioner - Internal Medicine 1254434772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC PhysiciansGroup PAC ID 8921252081, 2 clinicians

Practice addresses (Care Compare)

10019 Main St
A1
Houston, TX 77025-5257
Phone (713) 666-7000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Physicians Internal Medicine CurrentSince Dec 1, 2012 Accepting new patients
Michiana Hospitalist LLC Internal Medicine PastSince Nov 15, 2006 Accepting new patients
Busybody Fitness & Rehab, PLLC Past Accepting new patients

Locations

10019 Main St
Ste A1
Houston, TX 77025
Phone (713) 666-7000

6720 Bertner Ave
Va Hospital, TX 77030
Phone (713) 785-8537

Interoperability endpoints

  • Direct secure messaging: sahmed147638@memorialhermann.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1831138072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10019 MAIN ST",
            "address_2": "SUITE A1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770255256",
            "telephone_number": "713-666-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10019 MAIN ST",
            "address_2": "SUITE A1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770255256",
            "telephone_number": "713-666-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "SHAMOON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N0597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.