SHAMAL LORD
NPI 1275332918
Nurse Practitioner - Acute Care in Houston, TX

Q: What is Shamal Lord's NPI number?

The NPI number for Shamal Lord is 1275332918. It was assigned to this individual provider in the NPPES registry on March 12, 2025.

Q: What is Shamal Lord's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Shamal Lord was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since March 12, 2025PECOS EnrolledAccepts Medicare Assignment

6720 BERTNER AVE, HOUSTON, TX 77030(832) 355-2666 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 5, 2025, Mar 12, 2025 (2 updates tracked since 2025).

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About Shamal Lord NPPES

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

SHAMAL LORD (NPI 1275332918) is an individual acute care provider in Houston, Texas, licensed in Texas (0001290486) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1275332918

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameSHAMAL LORD

Location Address6720 BERTNER AVEHouston, TX 77030-2604

Mailing Address22799 Oakgrove RdSterling, VA 20166-4367 · (571) 224-6526

Phone(832) 355-2666

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMarch 12, 2025

Last NPPES UpdateJune 5, 20252 updates tracked since enumeration

NPPES CertifiedMay 9, 2025

✔ NPI 1275332918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TX · 0001290486

Also ListedRegistered NurseTaxonomy 163W00000X · License 0001290486 (VA)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 1200930 (TX)

Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License 1200930 (TX)

6720 BERTNER AVE, Houston, TX 77030

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shamal Lord is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901317874

PECOS Enrollment IDI20250617003099

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450193

Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

Most-billed visit code 99214

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 20

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

DR. ARCHANA VARGHEESE RAGHAVAN M.D.

Anesthesiology