KELLY SHUM MD – NPI #1366886178
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Health Care Provider Taxonomy Code for Internal Medicine

KELLY SHUM is a physician located in THE WOODLANDS, TX. NPPES has assigned the NPI number 1366886178 to KELLY SHUM on April 23, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was last updated on Aug 01, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KELLY SHUM below.

NPI Profile for
KELLY SHUM

NPI Number
1366886178
Enumeration Date

(more than 13 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KELLY SHUM
Credentials
MD
Primary location
17350 ST LUKES WAY STE 400
THE WOODLANDS, TX 77384-4167
Phone: (362) 664-8009 Fax: (936) 266-4775
2 Other location(s):
1514 Jefferson Hwy
Jefferson, LA 70121-2429
Phone: (504) 842-3000
2255 E Mossy Oaks Rd Ste 600
Spring, TX 77389-1813
Phone: (936) 266-4800
Fax: (936) 266-4775
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Aug 01, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)		 TX S1273
390200000X
- Student in an Organized Health Care Education/Training Program
207R00000X
- Internal Medicine		 TX S1273

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KELLY SHUM is affiliated with the following medical group(s):
  • HOSPITAL
    • CHI ST LUKES LAKESIDE HOSPITAL
      17400 ST LUKES WAY
      THE WOODLANDS, TX 77384
    • HOUSTON METHODIST THE WOODLANDS HOSPITAL
      17201 INTERSTATE 45 SOUTH
      THE WOODLANDS, TX 77385
    • MEMORIAL HERMANN HOSPITAL SYSTEM
      1635 NORTH LOOP WEST
      HOUSTON, TX 77008
    • ST LUKE'S THE WOODLANDS HOSPITAL
      17200 ST LUKE'S WAY
      THE WOODLANDS, TX 77384

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