NPIMap

Individual provider Active NPI

Shafraz Jason Mohammed

  • Internal Medicine Physician
  • Webster, TX
National Provider Identifier
1851639694
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
Q7429 Issued in TX
Practice address
500 N Kobayashi Ste a
Webster, TX 77598-4722
Phone
(281) 724-7341
Fax
(281) 724-1861
NPI assigned
Jan 30, 2013
Last updated
Feb 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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 Q7429 TX Primary

Addresses

Primary practice location

500 N Kobayashi Ste a
Webster, TX 77598-4722

Mailing address

PO Box 58406
Webster, TX 77598-8406
Phone (281) 724-7341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160818001048 TX Practitioner - Internal Medicine 9436444262 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CLS Health PLLCGroup PAC ID 7214962117, 176 clinicians
Clear Lake Hospitalists PAGroup PAC ID 8325463391, 27 clinicians

Practice addresses (Care Compare)

500 N Kobayashi
Suite a
Webster, TX 77598-4722
Phone (281) 724-1860

500 W Medical Ctr Blvd
HCA Houston Healthcare Clear Lake
Webster, TX 77598-4220
Phone (281) 332-2511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q7429TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Lake Hospitalists PA Internal Medicine CurrentSince May 15, 2022 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
CLS Health PLLC Internal Medicine CurrentSince Nov 1, 2018 Accepting new patients
Frio Hospital District Past Accepting new patients
Chca Clear Lake LP Past Accepting new patients
Chambers County Public Hospital District No 1 Past Accepting new patients
CLS Health PLLC Past Accepting new patients

Locations

5400 Clearfork Main St
Fort Worth, TX 76109
Phone (817) 433-7000

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

2121 Business Center Dr
Pearland, TX 77584
Phone (346) 200-8849

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

17201 Interstate 45 S
The Woodlands, TX 77385
Phone (936) 270-2000

333 N Texas Ave
Webster, TX 77598
Phone (281) 335-1700

500 N Kobayashi
Ste A
Webster, TX 77598
Phone (281) 724-7341

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFFDBA
  • Direct secure messaging: smohammed468778@direct.stlukeshealth.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sylvan Shores Health and WellnessLa Porte, TX, CCN 676490 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 1, 2024
Jan 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1851639694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58406",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775988406",
            "telephone_number": "281-724-7341",
            "fax_number": "281-724-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N KOBAYASHI STE A",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984722",
            "telephone_number": "281-724-7341",
            "fax_number": "281-724-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMED",
        "first_name": "SHAFRAZ",
        "middle_name": "JASON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-30",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q7429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.