Kamran Shabtai, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Friendswood, Texas. His current practice location is
1505 Winding Way Dr, Suite 112, Friendswood, Texas. You can reach out to his office (for appointments etc.) via phone at
(281) 993-3860.
Kamran Shabtai is licensed to practice in Texas (license number K3457) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114043304.
Physician's Profile
| Full Name | Kamran Shabtai |
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| Gender | Male |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 1505 Winding Way Dr, Friendswood, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114043304
- Provider Enumeration Date: 03/21/2007
- Last Update Date: 08/30/2016
Medicare PECOS Information:
- PECOS PAC ID: 6901945682
- Enrollment ID: I20161117001234
Medical Identifiers
Medical identifiers for Kamran Shabtai such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114043304 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083X0100X | Preventive Medicine - Occupational Medicine | ME0073605 (Florida) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | K3457 (Texas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kamran Shabtai allows following entities to bill medicare on his behalf.
| Entity Name | Memorial Hermann Medical Group Urgent Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619336708
PECOS PAC ID: 9537458310
Enrollment ID: O20160518000444 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kamran Shabtai is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Kamran Shabtai, MD
909 Frostwood Dr, Suite 1.100,
Houston, TX 77024-2301
Ph: (713) 338-4523 | Kamran Shabtai, MD
1505 Winding Way Dr, Suite 112,
Friendswood, TX 77546-5394
Ph: (281) 993-3860 |
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