Shadow Creek Family Physicians PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SHADOW CREEK FAMILY PHYSICIANS PA

Practice address

10970 Shadow Creek Pkwy
Suite 360
Pearland, TX 77584-0123

Phone

(713) 436-3697

NPI assigned

Oct 28, 2011

Last updated

Dec 22, 2011By 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

Krishali Hoffman, D.O

Title

Owner

Phone

(713) 436-3697

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Krishali D Gunaratne Hoffman, DO

  • Family Medicine Physician
  • Pearland, TX
  • NPI 1427074335
  Medicare reassignment NPD

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1922384478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10970 SHADOW CREEK PKWY",
            "address_2": "SUITE 360",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775840100",
            "telephone_number": "713-436-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10970 SHADOW CREEK PKWY",
            "address_2": "SUITE 360",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775840123",
            "telephone_number": "713-436-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADOW CREEK FAMILY PHYSICIANS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-28",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "KRISHALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-436-3697",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonal Sethi, M.D
• Melody Settles
• Katrina Renee Seume, MPT
• Seventh Medical Care PA
• Christopher Michael Shaddock, ATC, LAT
• Shadow Creek Imaging & Diagnostics LLC
• Patricia Mae Shafer, PTA
• Rebecca Lynn Shaffer, M.S., CF-SLP
• Alpesh R Shah, M.D.
• Manami Hitesh Shah, AUD

• Family Medicine Physician in Pearland, TX
• Providers in Pearland, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.