Individual provider Active NPI

Koonj Shaikh, PA-C

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1881172633
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12089 Issued in TX
Practice address
7026 Old Katy Rd Ste 276
Houston, TX 77024-2187
Phone
(713) 358-0562
NPI assigned
Aug 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA12089 TX Primary

Addresses

Primary practice location

7026 Old Katy Rd Ste 276
Houston, TX 77024-2187

Mailing address

7026 Old Katy Rd Ste 276
Houston, TX 77024-2187
Phone (713) 358-0562

Other practice location 1

20635 Kuykendahl Rd
Spring, TX 77379-3533
Phone (832) 844-3746

Other practice location 2

7026 Old Katy Rd Ste 276
Houston, TX 77024-2187
Phone (713) 358-0562

Other practice location 3

20635 Kuykendahl Rd
Spring, TX 77379-3533
Phone (832) 844-3746

Other practice location 4

150 Pine Forest Dr Ste 703
Shenandoah, TX 77384-5317
Phone (936) 273-2016

Other practice location 5

847 Fm 1960 Rd W
Houston, TX 77090-3426
Phone (281) 653-6544

Other practice location 6

7026 Old Katy Rd Ste 276
Houston, TX 77024-2187
Phone (713) 358-0562

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address koonj.shaikh@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200417002155 TX Practitioner - Physician Assistant 7416387287 Reassigns benefits to 2 organizations
I20240626003313 PA Practitioner - Physician Assistant 7416387287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

1400 Locust St
Pittsburgh, PA 15219-5114
Phone (412) 647-2200

200 Lothrop St
Pittsburgh, PA 15213-2536

5230 Centre Ave
Pittsburgh, PA 15232-1304

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA12089TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Aug 5, 2024 Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients
Community Radiology Associates P a Past Accepting new patients
Synergy Radiology Associates PastSince Jun 11, 2023 Accepting new patients

Locations

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Lothrop St
Ste 200
Pittsburgh, PA 15213
Phone (412) 647-3260

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1881172633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7026 OLD KATY RD STE 276",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242187",
            "telephone_number": "713-358-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7026 OLD KATY RD STE 276",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242187",
            "telephone_number": "713-358-0562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20635 Kuykendahl Rd",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773793533",
            "country_code": "US",
            "telephone_number": "832-844-3746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7026 Old Katy Rd Ste 276",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770242187",
            "country_code": "US",
            "telephone_number": "713-358-0562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20635 Kuykendahl Rd",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773793533",
            "country_code": "US",
            "telephone_number": "832-844-3746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Pine Forest Dr Ste 703",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773845317",
            "country_code": "US",
            "telephone_number": "936-273-2016",
            "fax_number": "936-273-2018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "847 Fm 1960 Rd W",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770903426",
            "country_code": "US",
            "telephone_number": "281-653-6544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7026 Old Katy Rd Ste 276",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770242187",
            "country_code": "US",
            "telephone_number": "713-358-0562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAIKH",
        "first_name": "KOONJ",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2024-08-15",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "koonj.shaikh@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.