Individual provider Active NPI

Fuad Makkouk, MD

  • Ophthalmology Physician
  • Austin, TX
National Provider Identifier
1023454386
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
S0733 Issued in TX
Practice address
9707 Anderson Mill Rd Ste 230
Austin, TX 78750-2300
Phone
(512) 693-9363
NPI assigned
May 14, 2013
Last updated
Dec 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 1.056429 CT
Ophthalmology Physician 207W00000X S0733 TX Primary

Addresses

Primary practice location

9707 Anderson Mill Rd Ste 230
Austin, TX 78750-2300

Mailing address

9707 Anderson Mill Rd Ste 230
Austin, TX 78750-2300
Phone (512) 693-9363

Other practice location 1

9707 Anderson Mill Rd Ste 220
Austin, TX 78750
Phone (512) 693-9363

Other practice location 2

40 Temple St Ste 1B
New Haven, CT 06510-2715
Phone (203) 785-3360

Other practice location 3

700 University Blvd
Galveston, TX 77550
Phone (409) 747-5800

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
I20191021000248 TX Practitioner - Ophthalmology 0042580631 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical Branch at Galveston, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texan Eye, PAGroup PAC ID 2466440458, 18 clinicians

Practice addresses (Care Compare)

5717 Balcones Dr
Austin, TX 78731-4203
Phone (512) 327-7000

9707 Anderson Mill Rd
Suite 230
Austin, TX 78750-2300
Phone (512) 693-9363

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1.056429CTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texan Eye, P.a. CurrentSince Aug 14, 2025 Accepting new patients
Texan Eye, PA Ophthalmology CurrentSince Aug 14, 2025 Accepting new patients
Austin Eye Center PLLC Ophthalmology CurrentSince Aug 1, 2019 Accepting new patients
Utmb Faculty Group Practice Ophthalmology CurrentSince Jan 20, 2020 Accepting new patients
Mendelsohn Medical LLC PastSince Aug 19, 2019 Accepting new patients

Locations

5717 Balcones Dr
Austin, TX 78731
Phone (512) 314-1613

9707 Anderson Mill Rd
Ste 220
Austin, TX 78750
Phone (512) 693-9363

9707 Anderson Mill Rd
Ste 230
Austin, TX 78750
Phone (512) 219-8787

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

700 University Blvd
Galveston, TX 77550
Phone (281) 338-0829

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

2660 Gulf Fwy S
League City, TX 77573
Phone (832) 505-2100

Interoperability endpoints

  • Direct secure messaging: fmakkoukmd19294@direct.utmb.edu

Organizations & group practices 5

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": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1023454386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9707 ANDERSON MILL RD STE 230",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502300",
            "telephone_number": "512-693-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9707 ANDERSON MILL RD STE 230",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502300",
            "telephone_number": "512-693-9363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9707 Anderson Mill Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "78750",
            "country_code": "US",
            "telephone_number": "512-693-9363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Temple St Ste 1B",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065102715",
            "country_code": "US",
            "telephone_number": "203-785-3360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "77550",
            "country_code": "US",
            "telephone_number": "409-747-5800",
            "fax_number": "409-747-5825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAKKOUK",
        "first_name": "FUAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-14",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "1.056429",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "S0733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.