Individual provider Active NPI

Abdul Moid Shehzad, MD

  • Nephrology Physician
  • Lake Jackson, TX
National Provider Identifier
1942788534
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
W7446 Issued in TX
Practice address
450 This Way St Ste B
Lake Jackson, TX 77566-5152
Phone
(979) 297-2220
Fax
(979) 285-9430
NPI assigned
Aug 6, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X W7446 TX Primary

Addresses

Primary practice location

450 This Way St Ste B
Lake Jackson, TX 77566-5152

Mailing address

450 This Way St Ste B
Lake Jackson, TX 77566-5152
Phone (979) 297-2220

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14811 Quail Ridge Rd
Danbury, TX 77534-9788

450 This Way St
Suite B
Lake Jackson, TX 77566-5152

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.252463OHMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Nephrology LLP Nephrology CurrentSince Jul 1, 2026 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

307 Sandy Corner Rd
#A
El Campo, TX 77437
Phone (979) 543-7400

450 This Way St
Ste B
Lake Jackson, TX 77566
Phone (979) 297-2220

Organizations & group practices 2

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": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1942788534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 THIS WAY ST STE B",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665152",
            "telephone_number": "979-297-2220",
            "fax_number": "979-297-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 THIS WAY ST STE B",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665152",
            "telephone_number": "979-297-2220",
            "fax_number": "979-285-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEHZAD",
        "first_name": "ABDUL MOID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-06",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "W7446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

Verify at the official NPI Registry.