Individual provider Active NPI

Nusrat Ahmed, MD

  • Family Medicine Physician
  • Freeport, TX
National Provider Identifier
1003022898
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R5348 Issued in TX
Practice address
905 N Gulf Blvd
Freeport, TX 77541
Phone
(281) 824-1480
Fax
(281) 220-6407
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R5348 TX Primary

Addresses

Primary practice location

905 N Gulf Blvd
Freeport, TX 77541

Mailing address

905 N Gulf Blvd
Freeport, TX 77541-3907
Phone (281) 824-1480

Other practice location 1

303 S Moorpark Rd
Thousand Oaks, CA 91361-1084
Phone (805) 413-8800

Other names 1

  • Nusrat Nazeer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180620002528 TX Practitioner - Family Practice 4486746211 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut Physicians Specialty ServicesGroup PAC ID 2567544570, 83 clinicians

Practice addresses (Care Compare)

6410 Fannin St
Suite 170
Houston, TX 77030-3003
Phone (832) 325-6500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R5348TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Specialty Services Family Medicine CurrentSince Aug 14, 2019 Accepting new patients
Ut Physicians Family Medicine CurrentSince Jan 26, 2022 Accepting new patients
Ut Physicians CurrentSince Jan 26, 2022 Accepting new patients
Stephen F. Austin Community Health Center, Inc. CurrentSince May 1, 2018 Accepting new patients
Stephen F Austin Community Health Center,Inc CurrentSince May 1, 2018 Accepting new patients
Johns Hopkins Community Physicians, Inc Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Miguel Gonzalez MD Professional Corporation PastSince Jun 1, 2004 Accepting new patients
Lakeside Medical Organization, a Medical Group Inc. Family Medicine Past Accepting new patients

Locations

1111 W Adoue St
Alvin, TX 77511
Phone 2818241480 ext. 1594

905 N Gulf Blvd
Freeport, TX 77541
Phone (979) 233-6297

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6410 Fannin St
Ste 170
Houston, TX 77030
Phone (832) 325-6500

6410 Fannin St
Ste 510
Houston, TX 77030
Phone (713) 500-5736

5115 Avenue H
Ste 701
Rosenberg, TX 77471
Phone (713) 486-1950

8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200

Interoperability endpoints

  • FHIR API: https://fhir.harrishealth.org/fhir/api/FHIR/R4/
  • Direct secure messaging: nusrat.ahmed.p1@direct.lakeside.nextgenshare.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1003022898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 N GULF BLVD",
            "city": "FREEPORT",
            "state": "TX",
            "postal_code": "775413907",
            "telephone_number": "281-824-1480",
            "fax_number": "281-220-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N GULF BLVD",
            "city": "FREEPORT",
            "state": "TX",
            "postal_code": "77541",
            "telephone_number": "281-824-1480",
            "fax_number": "281-220-6407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 S Moorpark Rd",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913611084",
            "country_code": "US",
            "telephone_number": "805-413-8800",
            "fax_number": "805-413-8801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMED",
        "first_name": "NUSRAT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R5348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NUSRAT",
            "last_name": "NAZEER",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Freeport, TX

Sources for this page

Verify at the official NPI Registry.