SHADY BISHAI DDS
NPI 1174193213
Dentist - General Practice in Texas City, TX
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, maintains a secondary practice location in San Antonio, and is a graduate of University Of Minnesota School Of Dentistry (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shady Bishai Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shady Bishai reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Alvin, TX 77511
- Reassigned Medicare billing, Texas enrollment
- 191 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES
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 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.
Which organization bills Medicare for Shady Bishai's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shady Bishai reassigns Medicare benefits to Stephen F. Austin Community Health Center, Inc. (Alvin, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shady Bishai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shady Bishai accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 11 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.
# Shady Bishai, DDS · NPI 1174193213
General Practice provider in Texas City, Texas. Individual provider, active in the CMS NPPES registry since June 30, 2021.
## Identity
- **NPI:** 1174193213 (Entity type: Individual)
- **Enumerated:** June 30, 2021
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 37540 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 9850C EMMETT F LOWRY EXPY STE C-103, Texas City, TX 77591-2122
- **Phone:** (409) 938-2234
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Stephen F. Austin Community Health Center, Inc. (NPI 1578730818, Alvin, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota School Of Dentistry, class of 2021
## Record status
- **NPPES last updated:** May 18, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1174193213) · Data from the CMS NPPES public registry.