Individual provider Active NPI

Ali R Shahen, MD

  • Anesthesiology Physician
  • Houston, TX
National Provider Identifier
1861512089
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
P9725 Issued in TX
Practice address
1002 Gemini St Ste 128
Houston, TX 77058-2746
Phone
(281) 218-9515
Fax
(281) 218-9534
NPI assigned
Mar 30, 2007
Last updated
May 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X P9725 TX Primary

Addresses

Primary practice location

1002 Gemini St Ste 128
Houston, TX 77058-2746

Mailing address

1002 Gemini St Ste 128
Houston, TX 77058-2746
Phone (281) 218-9515

Other identifiers 1

IdentifierTypeStateIssuer
185874802MedicaidTX

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
I20070806000177 TX Practitioner - Anesthesiology 3779674742 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Associates of West Houston PLLCGroup PAC ID 6800056177, 125 clinicians

Practice addresses (Care Compare)

1140 Business Ctr Dr
Suite 490
Houston, TX 77043-2741
Phone (713) 932-1247

1313 Hermann Dr
Houston, TX 77004-7005
Phone (713) 527-5000

15200 Southwest Fwy
Suite 290
Sugar Land, TX 77478-3866
Phone (281) 980-2010

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41683TXMDGeneral Practice Dentistry
P9725TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texans Anesthesia Associates PLLC Anesthesiology CurrentSince Mar 1, 2020 Accepting new patients
Specialty Associates of West Houston PLLC CurrentSince Sep 22, 2021 Accepting new patients
Baylor St. Luke's Medical Group Anesthesiology CurrentSince Jan 4, 2011 Accepting new patients
Baylor College of Medicine Anesthesiology Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

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

1140 Business Center Dr
Ste 490
Houston, TX 77043
Phone (713) 932-1247

1313 Hermann Dr
Houston, TX 77004
Phone (713) 527-5000

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

6624 Fannin St
Ste 1240
Houston, TX 77030
Phone (832) 355-5575

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

15200 Southwest Fwy
Ste 290
Sugar Land, TX 77478
Phone (281) 980-2010

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

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIHBCA

Organizations & group practices 5

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 1

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1861512089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 GEMINI ST STE 128",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582746",
            "telephone_number": "281-218-9515",
            "fax_number": "281-218-9534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 GEMINI ST STE 128",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582746",
            "telephone_number": "281-218-9515",
            "fax_number": "281-218-9534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHEN",
        "first_name": "ALI",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "P9725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185874802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.