SHADY BISHAI DDS
NPI 1174193213
Dentist - General Practice in Texas City, TX

Active since June 30, 2021PECOS Enrolled
9850C EMMETT F LOWRY EXPY STE C-103, TEXAS CITY, TX 77591(409) 938-2234 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 18, 2023, Dec 14, 2021, Jul 21, 2021 and 1 more (4 updates tracked since 2021).

About Shady Bishai Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHADY BISHAI DDS (NPI 1174193213) is an individual general practice provider in Texas City, Texas, licensed in Texas (37540) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota School Of Dentistry (2021).

NPPES Registry Identity

NPI1174193213
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameSHADY BISHAICredential: DDS
Location Address9850C EMMETT F LOWRY EXPY STE C-103Texas City, TX 77591-2122
Mailing Address5565 Mansions Blfs Apt 804San Antonio, TX 78245-4131 · (619) 278-9509
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota School Of DentistryGraduated 2021
Enumeration DateJune 30, 2021
Last NPPES UpdateMay 18, 20234 updates tracked since enumeration
NPPES CertifiedMay 18, 2023
NPI 1174193213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in TX · 37540 Licensed in MN · D14617
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
9850C EMMETT F LOWRY EXPY STE C-103, Texas City, TX 77591

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shady Bishai Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719477892
PECOS Enrollment IDI20251106004022
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77591 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.24 typical visit price
range $57.19 – $173.07
Typical copayment $22.06 (range $14.29 – $43.26)
Most-billed visit code 99203
Established Patient
$71.32 typical visit price
range $18.45 – $141.36
Typical copayment $17.83 (range $4.61 – $35.34)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
9850C EMMETT F LOWRY EXPY STE C-103
TEXAS CITY, TX 77591

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 Shady Bishai's NPI number?

The NPI number for Shady Bishai is 1174193213. It was assigned to this individual provider in the NPPES registry on June 30, 2021.

Where is Shady Bishai located?

Shady Bishai practices at 9850C Emmett F Lowry Expy Ste C-103, Texas City, TX 77591. The listed phone number is (409) 938-2234.

What is Shady Bishai's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Shady Bishai enrolled in Medicare?

Yes. Shady Bishai is registered in the Medicare PECOS enrollment system.

What insurance does Shady Bishai accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 16 other insurers list Shady Bishai as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shady Bishai was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.