Organization Active NPI

Shital Patel 14 MD PA

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1972090215
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P7532 Issued in TX
Legal business name
SHITAL PATEL 14 MD PA
Practice address
1801 North Loop W Ste 45
Houston, TX 77008-1445
Phone
(832) 308-0508
Fax
(866) 824-8763
NPI assigned
Apr 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Shital Patel, MDNPI 1225340144
Title
Physician
Phone
(301) 943-9331

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X P7532 TX Primary

Addresses

Primary practice location

1801 North Loop W Ste 45
Houston, TX 77008-1445

Mailing address

454 Faust LN
Houston, TX 77024-4702
Phone (832) 308-0508

Other names 1

  • Greater Heights Family Medical Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180604001468 TX Part B Supplier - Clinic/Group Practice 3577828037 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2152417Dr Shital Patel Greater Heights Family Clinic1801 North Loop West Suite 45, Houston, TX 77008Provider-performed microscopyJun 13, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1972090215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 FAUST LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770244702",
            "telephone_number": "832-308-0508",
            "fax_number": "832-844-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NORTH LOOP W STE 45",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081445",
            "telephone_number": "832-308-0508",
            "fax_number": "866-824-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHITAL PATEL 14 MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHITAL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "301-943-9331",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P7532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Heights Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.