NPIMap

Individual provider Active NPI

Chaitanya B Shah, M.D.

  • Cardiovascular Disease Physician
  • Houston, TX
National Provider Identifier
1952391161
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
M8332 Issued in TX
Practice address
11307 FM 1960 Rd W
Ste. #125
Houston, TX 77065-3687
Phone
(281) 894-4327
Fax
(281) 894-4360
NPI assigned
Oct 27, 2005
Last updated
Jun 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X M8332 TX Primary
Interventional Cardiology Physician 207RI0011X M8332 TX
Nuclear Cardiology Physician 207UN0901X M8332 TX

Addresses

Primary practice location

11307 FM 1960 Rd W
Ste. #125
Houston, TX 77065-3687

Mailing address

11307 FM 1960 Rd W
Ste. #125
Houston, TX 77065-3687
Phone (281) 894-4327

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CyfairHeartandVascularCenter.ChaitanyaBShah@123723.advancedmd-direct.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080428000075 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3678548062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11307 FM 1960 Rd W
Suite 125
Houston, TX 77065-4918
Phone (281) 894-4327

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair12
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M8332TXMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cyfair Heart and Vascular Center PA CurrentSince Nov 1, 2007 Accepting new patients
Beaumont MRI Inc PastSince Sep 23, 2002 Accepting new patients
Innovative Radiology PA Past Accepting new patients
East Tennessee Heart Consultants, P.C. Cardiovascular Disease Past Accepting new patients

Locations

11307 FM 1960 Rd W
Ste 125
Houston, TX 77065
Phone (281) 894-4327

Interoperability endpoints

  • Direct secure messaging: cyfairheartandvascularcenter.chaitanyabshah@123723.advancedmd-direct.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1952391161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11307 FM 1960 RD W",
            "address_2": "STE. #125",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653687",
            "telephone_number": "281-894-4327",
            "fax_number": "281-894-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11307 FM 1960 RD W",
            "address_2": "STE. #125",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653687",
            "telephone_number": "281-894-4327",
            "fax_number": "281-894-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "CHAITANYA",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "M8332",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "M8332",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "TX",
            "license": "M8332",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CyfairHeartandVascularCenter.ChaitanyaBShah@123723.advancedmd-direct.com",
            "affiliation": "N",
            "address_1": "11307 Fm 1960 Rd W",
            "address_2": "Ste. #125",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770653687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.