Moazam PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MOAZAM PA

Doing business as

Healthy Horizons Clinic

Practice address

7106 Spencer Hwy
Pasadena, TX 77505-1806

Phone

(918) 691-9129

NPI assigned

Sep 4, 2019

Last updated

Sep 4, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mustafa Mohammed MoazamNPI 1306987474

Title

Medical Director

Phone

(918) 691-9129

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Healthy Horizons Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Moazam PA

  dba Healthy horizons Clinic

  • Internal Medicine Physician
  • Thornton, CO
  • NPI 1699043166

  O20120409000135

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Healthy Horizons Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Moazam PA

  dba Healthy horizons Clinic

  • Internal Medicine Physician
  • Thornton, CO
  • NPI 1699043166
  NPD tax ID

Locations

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mustafa Mohammed Moazam, MD

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1306987474
  NPD Authorized official
• Tania Abraham, APRN, FNP-BC

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1801647557
  NPD
• Haala Hai, D.O

  • Family Medicine Physician
  • Pasadena, TX
  • NPI 1417335308
  NPD
• Eric Hernandez, FNP-C

  • Family Nurse Practitioner
  • Horizon City, TX
  • NPI 1003628793
  NPD
• Robert Michael Kaufman, RNFNP-C

  • Family Nurse Practitioner
  • El Paso, TX
  • NPI 1174574537
  NPD
• Khaja Najibuddin Chisty, M.D

  • Psychiatry Physician
  • Aurora, CO
  • NPI 1073785325
  NPD
• Kimberly Marie Farber, APRN-BC

  • Family Nurse Practitioner
  • Aurora, CO
  • NPI 1346314770
  NPD
• Jennifer A Fischer, RN, APN, FNP-BC

  • Family Nurse Practitioner
  • Thornton, CO
  • NPI 1023679628
  NPD
• Afroze Hai, M.D.

  • Pediatrics Physician
  • Flint, MI
  • NPI 1598745812
  NPD
• Sucharitha Meka, MD

  • Family Medicine Physician
  • Sunland Park, NM
  • NPI 1922449560
  NPD
• Jolene Lyn Nawrocki, DNP, FNP

  • Family Nurse Practitioner
  • Wheat Ridge, CO
  • NPI 1821587908
  NPD
• Samantha Nicole Newton, APRN

  • Family Nurse Practitioner
  • Cheyenne, WY
  • NPI 1801457809
  NPD

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1003465915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7106 SPENCER HWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775051806",
            "telephone_number": "918-691-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7106 SPENCER HWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775051806",
            "telephone_number": "918-691-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOAZAM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "MOAZAM",
        "authorized_official_first_name": "MUSTAFA",
        "authorized_official_middle_name": "MOHAMMED",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "918-691-9129"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "298010404",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Horizons Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fernando E Miranda Sr., M.D. , P. A. ,
• Maria Elisa Miranda, PT
• Aisha Mirza, MD
• Mitch Weaver and Associates, LLC
• Erica Mitchell, PA-C
• Joel O Mobe, CRNA
• Modern Dental Professionals Houston PC (Castle Dental and Monarch Dental)
• Mohamed O Jeroudi MD PA
• Enrique Molano-Manrique, M.D.
• Kathy Starr Molinaro, M.A., L.P.C.

• Internal Medicine Physician in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.