Active NPI
Shroff Cardiology & Internal Medicine Clinic PA
- Cardiovascular Disease Physician
- Big Spring, TX
National Provider Identifier
1952632739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- H5063
- Legal business name
- SHROFF CARDIOLOGY & INTERNAL MEDICINE CLINIC PA
- Practice address
- 1501 W 11TH PL Ste 301
#301
Big Spring, TX 79720-4121 - Phone
- (432) 267-9805
- Fax
- (432) 264-7542
- NPI assigned
- Jan 19, 2010
- Last updated
- May 27, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Manish H Shroff, M.D.
- Title
- Physician
- Phone
- (432) 267-9805
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | H5063 | TX | Primary |
Addresses
Primary practice location
1501 W 11TH PL Ste 301
#301
Big Spring, TX 79720-4121
Mailing address
PO Box 150
Big Spring, TX 79721-0150
Phone (432) 267-9805
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 216395801 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1501 W 11th Pl
Ste 301
Big Spring, TX 79720
Phone (432) 267-9805
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CCGJBA
Practitioners & affiliated clinicians
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.
-
- Cardiovascular Disease Physician
- Big Spring, TX
- NPI 1447270095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401148800000",
"number": "1952632739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 150",
"city": "BIG SPRING",
"state": "TX",
"postal_code": "797210150",
"telephone_number": "432-267-9805",
"fax_number": "432-264-7542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 W 11TH PL STE 301",
"address_2": "#301",
"city": "BIG SPRING",
"state": "TX",
"postal_code": "797204121",
"telephone_number": "432-267-9805",
"fax_number": "432-264-7542"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHROFF CARDIOLOGY & INTERNAL MEDICINE CLINIC PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-19",
"last_updated": "2014-05-27",
"status": "A",
"authorized_official_last_name": "SHROFF",
"authorized_official_first_name": "MANISH",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "432-267-9805",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "H5063",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "216395801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Big Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.