Individual provider Active NPI

Aida Zarina Khanum, M.D., M.P.H.

  • Pediatrics Physician
  • Bellaire, TX
National Provider Identifier
1013933126
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L9282 Issued in TX
Practice address
5410 Bellaire Blvd Ste D
Bellaire, TX 77401-3964
Phone
(713) 669-1900
Fax
(713) 669-1988
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L9282 TX Primary

Addresses

Primary practice location

5410 Bellaire Blvd Ste D
Bellaire, TX 77401-3964

Mailing address

4818 Palmetto St
Bellaire, TX 77401-3414
Phone (713) 669-1512

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address aida@pediatricpod.com Direct
Direct Messaging Address aida.khanum@ppod.eclinicaldirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCIJCA/Endpoint/GCIJCA
  • Direct secure messaging: akhanum9560@prddirect.texaschildrens.org

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1013933126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4818 PALMETTO ST",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013414",
            "telephone_number": "713-669-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 BELLAIRE BLVD STE D",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013964",
            "telephone_number": "713-669-1900",
            "fax_number": "713-669-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANUM",
        "first_name": "AIDA",
        "middle_name": "ZARINA",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L9282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aida@pediatricpod.com",
            "affiliation": "N",
            "endpointDescription": "email address if information is needed",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "email",
            "address_1": "5410 Bellaire Blvd Ste D",
            "city": "Bellaire",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774013964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aida.khanum@ppod.eclinicaldirect.com",
            "affiliation": "N",
            "address_1": "5410 Bellaire Blvd Ste D",
            "city": "Bellaire",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774013964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.