Organization Active NPI

Shroff Cardiology & Internal Medicine Clinic PA

  • Cardiovascular Disease Physician
  • Big Spring, TX
National Provider Identifier
1952632739
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
H5063 Issued in TX
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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.NPI 1447270095
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
216395801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100916000540 TX Part B Supplier - Clinic/Group Practice 8426173279 Receives reassigned benefits from 1 practitioner
Practice locations: Big Spring, TX

National Provider Directory

National Provider Directory

Locations

1501 W 11th Pl
Ste 301
Big Spring, TX 79720
Phone (432) 267-9805

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.