Individual provider Active NPI

Nikita Nikunj Shah

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1831497528
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA07022 Issued in TX
Practice address
5990 Airline Dr
Suite 160
Houston, TX 77076-4233
Phone
(713) 695-9947
Fax
(713) 699-6218
NPI assigned
Mar 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA07022 TX Primary

Addresses

Primary practice location

5990 Airline Dr
Suite 160
Houston, TX 77076-4233

Mailing address

5990 Airline Dr
Suite160
Houston, TX 77076-4233
Phone (713) 695-9947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA07022TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Imagine Pediatrics PLLC Physician Assistant Past Accepting new patients
Imagine Pediatrics of Florida LLC Past Accepting new patients
Cypresswood Clinic Associates Past Accepting new patients
Airline Doctors Family and Pediatric Clinics,PLLC PastSince Jul 2, 2014 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nikita.shah.1@27760.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/27760/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1831497528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5990 AIRLINE DR",
            "address_2": "SUITE160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764233",
            "telephone_number": "713-695-9947",
            "fax_number": "713-699-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5990 AIRLINE DR",
            "address_2": "SUITE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764233",
            "telephone_number": "713-695-9947",
            "fax_number": "713-699-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NIKITA",
        "middle_name": "NIKUNJ",
        "name_prefix": "Prof.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-04",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.