SHIVA DARAM M.D.
NPI 1497199061
Otolaryngology - Pediatric Otolaryngology in Houston, TX
About Shiva Daram M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHIVA DARAM M.D. (NPI 1497199061) is an individual pediatric otolaryngology provider in Houston, Texas, licensed in Texas (R2562) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2013).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shiva Daram M.d. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Shiva Daram reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 3,111 clinicians in this Medicare group
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 112 clinicians in this Medicare group
Galveston, TX 77555
- Reassigned Medicare billing, Texas enrollment
- 2,222 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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
HOUSTON, TX 77030
HOUSTON, TX 77030
HOUSTON, TX 77030
HOUSTON, TX 77030
HOUSTON, TX 77030
HOUSTON, TX 77030
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 Shiva Daram's NPI number?
The NPI number for Shiva Daram is 1497199061. It was assigned to this individual provider in the NPPES registry on April 24, 2013.
Where is Shiva Daram located?
Shiva Daram practices at 6400 Fannin St Ste 2700, Houston, TX 77030. The listed phone number is (713) 486-5000.
What is Shiva Daram's specialty?
The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.
Is Shiva Daram enrolled in Medicare?
Yes. Shiva Daram is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Shiva Daram's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shiva Daram reassigns Medicare benefits to 3 organizations: Ut Physicians (Houston, TX), Shriners Hospitals For Children (Houston, TX) and Utmb Faculty Group Practice (Galveston, TX). Each 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 Shiva Daram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shiva Daram accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Shiva Daram 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 Shiva Daram was last updated on December 8, 2022. 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.
# Shiva Daram, M.D. · NPI 1497199061
Pediatric Otolaryngology physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since April 24, 2013.
## Identity
- **NPI:** 1497199061 (Entity type: Individual)
- **Enumerated:** April 24, 2013
- **Primary specialty:** Otolaryngology - Pediatric Otolaryngology · taxonomy 207YP0228X
- **State license:** R2562 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 6400 FANNIN ST STE 2700, Houston, TX 77030-1539
- **Phone:** (713) 486-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Ut Physicians (NPI 1033157821, Houston, TX); Shriners Hospitals For Children (NPI 1649850272, Houston, TX); Utmb Faculty Group Practice (NPI 1942241146, Galveston, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Baylor College Of Medicine, class of 2013
## Record status
- **NPPES last updated:** December 8, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1497199061) · Data from the CMS NPPES public registry.