NPIMap

Individual provider Active NPI

Shree Devi Visaria, M.D.

  • Obstetrics & Gynecology Physician
  • Houston, TX
National Provider Identifier
1861489858
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M2176 Issued in TX
Practice address
2060 Space Park Dr Ste 410
Houston, TX 77058
Phone
(832) 783-2330
NPI assigned
Oct 4, 2005
Last updated
Feb 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X M2176 TX Primary

Addresses

Primary practice location

2060 Space Park Dr Ste 410
Houston, TX 77058

Mailing address

2060 Space Park Dr Ste 410
Houston, TX 77058-3676
Phone (832) 783-2330

Other practice location 1

450 Medical Center Blvd
Suite 400
Webster, TX 77598
Phone (281) 338-0085

Other practice location 2

450 Medical Center Blvd
Suite 400
Webster, TX 77598
Phone (281) 338-0085

Other identifiers 1

IdentifierTypeStateIssuer
219127202MedicaidTX

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
I20050913000605 TX Practitioner - Obstetrics/Gynecology 6608809413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Florida College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Women Specialists of Clear Lake PLLCGroup PAC ID 5799096632, 13 clinicians

Practice addresses (Care Compare)

400 W Medical Ctr Blvd
Suite 300
Webster, TX 77598-4402
Phone (281) 557-0300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Women Specialists of Clear Lake, PLLC Obstetrics & Gynecology CurrentSince Mar 8, 2023 Accepting new patients
Chca Clear Lake LP Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

400 W Medical Center Blvd
Ste 300
Webster, TX 77598
Phone (281) 526-6840

450 W Medical Center Blvd
Ste 206
Webster, TX 77598
Phone (281) 332-9676

500 W Medical Center Blvd
Spc Of
Webster, TX 77598
Phone (832) 331-1125

Interoperability endpoints

  • Direct secure messaging: shree.visaria@hca9.eclinicaldirectplus.com
  • Direct secure messaging: svisaria156918@direct.houstonmethodist.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1861489858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 SPACE PARK DR STE 410",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583676",
            "telephone_number": "832-783-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 SPACE PARK DR STE 410",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77058",
            "telephone_number": "832-783-2330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Medical Center Blvd",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "77598",
            "country_code": "US",
            "telephone_number": "281-338-0085",
            "fax_number": "281-332-9532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Medical Center Blvd",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "77598",
            "country_code": "US",
            "telephone_number": "281-338-0085",
            "fax_number": "281-332-9532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VISARIA",
        "first_name": "SHREE",
        "middle_name": "DEVI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M2176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219127202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.