Individual provider Active NPI

Shamim Patni, M.D., MPH

  • Adult Medicine Physician
  • Lake Jackson, TX
National Provider Identifier
1922127075
Registry record updated Mar 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
J6649 Issued in TX
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, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J6649TXMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
C H Wilkinson Physician Network Adult Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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

Verify at the official NPI Registry.