CHARLES O SHOETAN MD
NPI 1114095023
Family Medicine in Houston, TX
About Charles O Shoetan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLES O SHOETAN MD (NPI 1114095023) is an individual family medicine provider in Houston, Texas, licensed in Texas (N6669) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Charles O Shoetan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77074 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Charles Shoetan's NPI number?
The NPI number for Charles Shoetan is 1114095023. It was assigned to this individual provider in the NPPES registry on November 30, 2006.
Where is Charles Shoetan located?
Charles Shoetan practices at 7048 Bissonnet St, Houston, TX 77074. The listed phone number is (713) 776-3906.
What is Charles Shoetan's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Charles Shoetan enrolled in Medicare?
Yes. Charles Shoetan is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Charles Shoetan was last updated on November 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Charles O Shoetan, MD · NPI 1114095023
Family Medicine physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since November 30, 2006.
## Identity
- **NPI:** 1114095023 (Entity type: Individual)
- **Enumerated:** November 30, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** N6669 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7048 BISSONNET ST, Houston, TX 77074-6010
- **Phone:** (713) 776-3906
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** November 1, 2011
- **Other identifiers:** Medicare PIN TXB121636 (TX); Medicare UPIN G18359 (LA); Medicaid 09659298 (MS); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1114095023) · Data from the CMS NPPES public registry.