MARYAM SHAKOURI (NP) – Family Nurse Practitioner, NPI 1669003760

MARYAM SHAKOURI (NP) is a healthcare provider. based in Houston, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. AP144620 (TX). The NPI Number for MARYAM SHAKOURI (NP) is 1669003760

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MARYAM SHAKOURI (NP)
NPI
1669003760
Phone
(719) 947-2014
Address
8181 FANNIN ST APT 1637
Enumeration Date
28 January 2020
Last Update Date
28 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8323503929
Graduation Year
2019 (7 years ago)
PAC ID
4385055938
Group Practice PAC ID
7416295332
Professional Enrollment ID
I20201202003236
Address ID
TX770154363HO1140XDRXX306
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

Provider Addresses for MARYAM SHAKOURI (NP)

  • 8181 FANNIN ST APT 1637

    HOUSTON, TX 770542924

    Phone: (719) 947-2014

    Type: Mailing

  • 2801 GESSNER RD

    HOUSTON, TX 770802503

    Phone: (719) 947-2014

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-12-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201202003236INurse PractitionerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77054)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416295332View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What number should I use to identify MARYAM SHAKOURI (NP) for billing?
Administrative and clinical systems typically use NPI 1669003760 for MARYAM SHAKOURI (NP).
Quick check: is MARYAM SHAKOURI (NP) active?
Public NPPES data shows MARYAM SHAKOURI (NP) with an active NPI status right now.
What services align with MARYAM SHAKOURI (NP)'s listing?
MARYAM SHAKOURI (NP)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit MARYAM SHAKOURI (NP) in Houston, Texas?
For routing, start with Houston, Texas for MARYAM SHAKOURI (NP), then verify phone and hours locally.
Who maintains MARYAM SHAKOURI (NP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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