DR. SHAYAN ALIREZA IZADDOOST M.D., PH.D.
NPI 1457599706
Surgery - Plastic and Reconstructive Surgery in Houston, TX

Q: What is Shayan Izaddoost's NPI number?

The NPI number for Shayan Izaddoost is 1457599706. It was assigned to this individual provider in the NPPES registry on January 24, 2009.

Q: What is Shayan Izaddoost's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Q: When was this NPI record last updated?

The NPPES record for Shayan Izaddoost was last updated on September 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since January 24, 2009PECOS Enrolled

2727 W HOLCOMBE BLVD, HOUSTON, TX 77025(713) 442-0000 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 17, 2021, Sep 10, 2021, Jun 1, 2021 and 1 more (4 updates tracked since 2020).

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About Dr. Shayan Alireza Izaddoost M.d., Ph.d. NPPES

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

DR. SHAYAN ALIREZA IZADDOOST M.D., PH.D. (NPI 1457599706) is an individual plastic and reconstructive surgery provider in Houston, Texas, licensed in Texas (N0850) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457599706

Entity TypeIndividualMale

Primary Taxonomy2086S0122X

Provider Legal NameDR. SHAYAN ALIREZA IZADDOOSTCredential: M.D., PH.D.

Location Address2727 W HOLCOMBE BLVDHouston, TX 77025-1669

Mailing Address11511 Shadow Creek PkwyPearland, TX 77584-7298 · (713) 442-0000

Phone(713) 442-0000

Sole ProprietorNo

Enumeration DateJanuary 24, 2009

Last NPPES UpdateSeptember 17, 20214 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2021

✔ NPI 1457599706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

License✔ Licensed in TX · N0850

Definition

A surgeon who specializes in plastic and reconstructive surgery.

Also ListedPlastic SurgeryTaxonomy 208200000X · License N0850 (TX)

2727 W HOLCOMBE BLVD, Houston, TX 77025

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Other Identifiers 2

Medicaid204706009TX

Medicaid204706010TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice, UnitedHealthcare.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)

Dr. Shayan Alireza Izaddoost M.d., Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

JOSHUA E LEIF O.D.

Optometrist

2727 W HOLCOMBE BLVD, 4TH FLOOR, OPTOMETRY
HOUSTON, TX 77025

Harris County (713) 442-0000

MAHER DAAS MD

Internal Medicine (Pulmonary Disease)