SHEZAAN MOMIN MD
NPI 1952985541
General Practice in Austin, TX

Q: What is Shezaan Momin's NPI number?

The NPI number for Shezaan Momin is 1952985541. It was assigned to this individual provider in the NPPES registry on May 10, 2021.

Q: What is Shezaan Momin's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Shezaan Momin was last updated on December 13, 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.

Active since May 10, 2021PECOS Enrolled

1500 RED RIVER ST, AUSTIN, TX 78701(512) 324-7390 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 13, 2022, May 10, 2021 (2 updates tracked since 2021).

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About Shezaan Momin Md NPPES

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

SHEZAAN MOMIN MD (NPI 1952985541) is an individual general practice provider in Austin, Texas, licensed in Alabama (MD.45229) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952985541

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameSHEZAAN MOMINCredential: MD

Location Address1500 RED RIVER STAustin, TX 78701-1918

Mailing Address9808 Baden LnAustin, TX 78754-5516 · (512) 820-3374

Phone(512) 324-7390

Sole ProprietorNo

Enumeration DateMay 10, 2021

Last NPPES UpdateDecember 13, 20222 updates tracked since enumeration

NPPES CertifiedJune 16, 2022

✔ NPI 1952985541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in AL · MD.45229

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1500 RED RIVER ST, Austin, TX 78701

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shezaan Momin Md 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.

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