Southwest Primary Care PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SOUTHWEST PRIMARY CARE PA

Practice address

1235 Lake Pointe Pkwy Ste 101
Sugar Land, TX 77478-4077

Phone

(281) 980-2233

Fax

(281) 980-2220

NPI assigned

May 31, 2007

Last updated

Nov 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Viren N Shah, MDNPI 1306903265

Title

President

Phone

(281) 980-2233

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12926/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Viren N Shah, MD

  • Internal Medicine Physician
  • NPI 1306903265

  TX

  Medicare reassignment NPD Authorized official
• Rachel Menges, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1659856680
  Medicare reassignment NPD

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1871795187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 LAKE POINTE PKWY STE 101",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784077",
            "telephone_number": "281-980-2233",
            "fax_number": "281-980-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 LAKE POINTE PKWY STE 101",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784077",
            "telephone_number": "281-980-2233",
            "fax_number": "281-980-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST PRIMARY CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "VIREN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-980-2233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PROVIDER NUMBE",
            "identifier": "0082HW",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165424601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southwest OB/GYN Assoc LLP
• Southwest Orthopedic Group, LLP
• Southwest Orthopedic Group, LLP
• Southwest Pediatric Associates of Sugar Land, PA (Town Center Pediatrics)
• Southwest Pediatric Clinics PLLC
• Southwest Urgent Care, PLLC
• Kemi R Sowunmi Donahue
• Space City Laboratories
• Spark ABA LLC
• Alexander Sparkman-Royo, M.D.

• Internal Medicine Physician in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.