Active NPI
Shamim Patni, M.D., MPH
- Adult Medicine Physician
- Lake Jackson, TX
National Provider Identifier
1922127075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- J6649
- Practice address
- 208 Oak Dr S
Suite 700
Lake Jackson, TX 77566-5790 - Phone
- (979) 230-4852
- Fax
- (979) 230-4863
- NPI assigned
- Mar 28, 2007
- Last updated
- Mar 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | J6649 | TX | Primary |
| Occupational Medicine Physician | 2083X0100X | J6649 | TX |
Addresses
Primary practice location
208 Oak Dr S
Suite 700
Lake Jackson, TX 77566-5790
Mailing address
208 Oak Dr S
Suite 700
Lake Jackson, TX 77566-5790
Phone (979) 230-4852
Other names 1
- Dr. Shamim B. Patni
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J6649 | TX | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C H Wilkinson Physician Network | Adult Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
Organizations & group practices 1
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.
-
dba CHRISTUS Physician Group
- Family Medicine Physician
- Irving, TX
- NPI 1457382947
Adult Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490486400000",
"number": "1922127075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 OAK DR S",
"address_2": "SUITE 700",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775665790",
"telephone_number": "979-230-4852",
"fax_number": "979-230-4863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 OAK DR S",
"address_2": "SUITE 700",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775665790",
"telephone_number": "979-230-4852",
"fax_number": "979-230-4863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATNI",
"first_name": "SHAMIM",
"name_prefix": "Dr.",
"credential": "M.D., MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2017-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "TX",
"license": "J6649",
"primary": true
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "TX",
"license": "J6649",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHAMIM",
"last_name": "PATNI",
"middle_name": "B.",
"prefix": "DR.",
"credential": "M.D., MPH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lake Jackson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.