Individual provider Active NPI

Shelly L Leeds-Richter, M.D.

  • Obstetrics & Gynecology Physician
  • Houston, TX
National Provider Identifier
1861494171
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L1642 Issued in TX
Practice address
7900 Fannin St
Suite 4000
Houston, TX 77054-2934
Phone
(713) 512-7000
Fax
(713) 512-7677
NPI assigned
Jun 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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 L1642 TX Primary

Addresses

Primary practice location

7900 Fannin St
Suite 4000
Houston, TX 77054-2934

Mailing address

PO Box 4048
Houston, TX 77210-4048
Phone (713) 512-7000

Other identifiers 2

IdentifierTypeStateIssuer
1511420-01MedicaidTX
8A6812OtherTXBLUE CROSS & BLUE SHIELD

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
I20040512001332 TX Practitioner - Obstetrics/Gynecology 2365432416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Baylor College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

427 W 20TH St
Houston, TX 77008-2433
Phone (281) 407-7955

7900 Fannin St
Houston, TX 77054-2934

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast, PLLC Obstetrics & Gynecology CurrentSince Jan 1, 2015 Accepting new patients
Privia Medical Group Gulf Coast PLLC CurrentSince Jan 1, 2015 Accepting new patients

Locations

5132 Atascocita Rd
Ste A
Atascocita, TX 77346
Phone (281) 359-2080

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

7900 Fannin St
Houston, TX 77054
Phone (713) 512-7505

7900 Fannin St
Ste 3012
Houston, TX 77054

22999 Highway 59 N
Ste 150
Kingwood, TX 77339
Phone (281) 358-2426

10223 Broadway St
Ste E
Pearland, TX 77584
Phone (713) 340-2848

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

920 Medical Plaza Dr
Ste 310
Shenandoah, TX 77380
Phone (281) 367-6836

15890 Southwest Fwy
Ste 400
Sugar Land, TX 77478
Phone (281) 242-0767

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Interoperability endpoints

  • Direct secure messaging: shelly.leeds-richter.1@8042.direct.athenahealth.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 12

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1861494171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4048",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104048",
            "telephone_number": "713-512-7000",
            "fax_number": "713-512-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 FANNIN ST",
            "address_2": "SUITE 4000",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542934",
            "telephone_number": "713-512-7000",
            "fax_number": "713-512-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEDS-RICHTER",
        "first_name": "SHELLY",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L1642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1511420-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "8A6812",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.