SHUBHA P SHETTY MD PA
NPI 1245682384
Family Medicine in Missouri City, TX

Active since July 12, 2016CLIA 45D2121846 · Waiver
4502 RIVERSTONE BLVD, SUITE 1003, MISSOURI CITY, TX 77459(972) 904-7683 Get Directions Write a Review

NPPES record last updated: August 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2016, Jul 12, 2016 (2 updates tracked since 2016).

About Shubha P Shetty Md Pa NPPES

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

SHUBHA P SHETTY MD PA (NPI 1245682384) is a healthcare organization registered as a family medicine in Missouri City, Texas and active in the NPI registry since July 2016. The organization holds a CLIA Waiver certificate valid through November 14, 2026 and lists Shubha Premnath Shetty, Md, as its authorized official.

NPPES Registry Identity

NPI1245682384
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHUBHA P SHETTY MD PA
Location Address4502 RIVERSTONE BLVD, SUITE 1003Missouri City, TX 77459-5204
Mailing Address4502 Riverstone BlvdMissouri City, TX 77459-5204 · (972) 904-7683
Organization SubpartNo
Authorized OfficialShubha Premnath ShettyMd · (972) 904-7683
Enumeration DateJuly 12, 2016
Last NPPES UpdateAugust 8, 20162 updates tracked since enumeration
NPI 1245682384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · N4096
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License N4096 (TX)
4502 RIVERSTONE BLVD, Missouri City, TX 77459

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2121846

Shubha Shetty MD PA · Missouri City, TX
Active · expires Nov 14, 2026
CLIA Number45D2121846
Laboratory TypePhysician Office
Certificate Effective DateNovember 15, 2024
Certificate Expiration DateNovember 14, 2026
Laboratory DirectorShubha Shetty
Laboratory Phone(972) 904-7683
Laboratory LocationShubha Shetty MD PA4502 Riverstone Blvd Suite 1003, Missouri City, TX 77459
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Licensed Vocational Nurse
4502 RIVERSTONE BLVD
MISSOURI CITY, TX 77459
Registered Nurse
4502 RIVERSTONE BLVD
MISSOURI CITY, TX 77459
Clinic/Center (Mental Health (Including Community Mental Health Center))
4502 RIVERSTONE BLVD, SUITE # 601
MISSOURI CITY, TX 77459
Licensed Vocational Nurse
4502 RIVERSTONE BLVD
MISSOURI CITY, TX 77459
Licensed Vocational Nurse
4502 RIVERSTONE BLVD
MISSOURI CITY, TX 77459
Speech-Language Pathologist
4502 RIVERSTONE BLVD, SUITE 701
MISSOURI CITY, TX 77459
Registered Nurse (Home Health)
4502 RIVERSTONE BLVD
MISSOURI CITY, TX 77459
Licensed Vocational Nurse
4502 RIVERSTONE BLVD
MISSOURI CITY, TX 77459

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 Shubha P Shetty MD PA's NPI number?

The NPI number for Shubha P Shetty MD PA is 1245682384. It was assigned to this organization in the NPPES registry on July 12, 2016.

Where is Shubha P Shetty MD PA located?

Shubha P Shetty MD PA is located at 4502 Riverstone Blvd Suite 1003, Missouri City, TX 77459. The listed phone number is (972) 904-7683.

What is Shubha P Shetty MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Shubha P Shetty MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2121846) is associated with this NPI, valid through November 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Shubha P Shetty MD PA 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 1 other insurer list Shubha P Shetty MD PA 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 Shubha P Shetty MD PA was last updated on August 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.