Shatishkumar Y Patel, MD, PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

L0495 Issued in TX

Legal business name

SHATISHKUMAR Y PATEL, MD, PA

Practice address

8200 Wednesbury LN
Suite 295
Houston, TX 77074-2925

Phone

(713) 533-0995

Fax

(713) 772-5475

NPI assigned

Oct 26, 2007

Organization subpart

No

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

Authorized official

Name

Shatishkumar Y Patel, MDNPI 1366450579

Title

Owner

Phone

(713) 533-0995

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Shatishkumar Y Patel, M.D.

  • Nephrology Physician
  • Houston, TX
  • NPI 1366450579
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1972782977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 WEDNESBURY LN STE 290",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742906",
            "telephone_number": "713-533-0995",
            "fax_number": "713-772-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 WEDNESBURY LN",
            "address_2": "SUITE 295",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742925",
            "telephone_number": "713-533-0995",
            "fax_number": "713-772-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHATISHKUMAR Y PATEL, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHATISHKUMAR",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-533-0995",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "L0495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170877801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00064014",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0039KJ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharpstown Medical Clinic PA
• Anjail Zarinah Sharrief, MD
• Aditi Shastri, M.D.
• Ravi K Shastri, M.D.
• Lamis A Shatat, M.D.
• Nicola Shatleh, OD
• Zoya Shatto
• Shama Shaukatali, PA-C
• Rosanne E Shaul, LMSW
• Shaunfield Counseling Center

• Nephrology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.