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SHIVA DARAM M.D.
NPI 1497199061
Otolaryngology - Pediatric Otolaryngology in Houston, TX

Active since April 24, 2013PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
6400 FANNIN ST STE 2700, HOUSTON, TX 77030(713) 486-5000 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2022, Dec 2, 2022, Aug 1, 2022 and 1 more (4 updates tracked since 2019).

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, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Baylor College Of Medicine (2013).

NPPES Registry Identity

NPI1497199061
Entity TypeIndividualMale
Primary Taxonomy207YP0228X
Provider Legal NameSHIVA DARAMCredential: M.D.
Location Address6400 FANNIN ST STE 2700Houston, TX 77030-1539
Mailing Address6431 Fannin St, Msb 5.036Houston, TX 77030 · (713) 500-6636
Phone(713) 486-5000
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2013
Enumeration DateApril 24, 2013
Last NPPES UpdateDecember 8, 20224 updates tracked since enumeration
NPPES CertifiedDecember 5, 2022
✔ NPI 1497199061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207YP0228X
Licenses✔ Licensed in TX · R2562✔ Licensed in IL · 036.145158
Definition
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6400 FANNIN ST STE 2700, Houston, TX 77030
Open in Google Maps ↗

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

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.

PECOS PAC ID547501009
PECOS Enrollment IDI20190410000291
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.

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

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.

MS. HANNAH PEARL SMOCK AGACNP
Nurse Practitioner (Acute Care)
6400 FANNIN ST STE 2700
HOUSTON, TX 77030
Harris County (713) 486-5000
STEPHANIE SHARLEEN RIOS AU.D.
Audiologist
6400 FANNIN ST STE 2700
HOUSTON, TX 77030
Harris County (713) 486-5038
HANNAH DELLACROCE MD
Student in an Organized Health Care Education/Training Program
6400 FANNIN ST STE 2700
HOUSTON, TX 77030
Harris County (713) 486-5000
DR. KUNAL SUDHIR JAIN MD
Otolaryngology
6400 FANNIN ST STE 2700
HOUSTON, TX 77030
Harris County (713) 486-5000
DANIELLE OLIVIA CLAY
Audiologist
6400 FANNIN ST STE 2700
HOUSTON, TX 77030
Harris County (713) 486-5000
ALEXANDER PAUL SIMKO MD
Student in an Organized Health Care Education/Training Program
6400 FANNIN ST STE 2700
HOUSTON, TX 77030
Harris County (713) 486-5000
ANDREA ZHANG
Student in an Organized Health Care Education/Training Program
6400 FANNIN ST STE 2700
HOUSTON, TX 77030
Harris County (713) 486-5000
UGUR NUR BASMACI
Student in an Organized Health Care Education/Training Program
6400 FANNIN ST STE 2700
HOUSTON, TX 77030
Harris County (916) 878-8795

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.

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 4 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.

Is Shiva Daram affiliated with any hospitals?

According to CMS data, Shiva Daram is affiliated with Memorial Hermann - Texas Medical Center.

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.