Active NPI
Fahad Javed, M.D.,
- Interventional Cardiology Physician
- Conroe, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- S0909
- Practice address
- 601 River Pointe Dr Ste 105
Conroe, TX 77304-2943 - Phone
- (936) 539-5577
- Fax
- (936) 539-5550
- NPI assigned
- Aug 27, 2010
- Last updated
- Jun 3, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 266935 | NY | |
| Interventional Cardiology Physician | 207RI0011X | 26033 | MS | |
| Interventional Cardiology Physician | 207RI0011X | DR.0062918 | CO | |
| Interventional Cardiology Physician | 207RI0011X | S0909 | TX | Primary |
| Interventional Cardiology Physician | 207RI0011X | MD.206853 | LA |
Addresses
Primary practice location
601 River Pointe Dr Ste 105
Conroe, TX 77304-2943
Mailing address
4215 15TH St
Gulfport, MS 39501-2523
Phone (228) 863-5211
Other practice location 1
1 Mercado St Ste 130
Durango, CO 81301-7306
Phone (970) 247-1120
Other practice location 2
4215 15th St
Gulfport, MS 39501
Phone (228) 863-5211
Other practice location 3
102 Medical Park Ln Ste A
Huntsville, TX 77340-4975
Phone (936) 539-5577
Other practice location 4
4215 15th St
Gulfport, MS 39501
Phone (228) 863-5211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E-12343 | Other | AR | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
102 Medical Park LN a
Huntsville, TX 77340-4975
Phone (936) 539-5577
17183 I 45
Suite 350
Shenandoah, TX 77385-3313
Phone (936) 321-0080
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 95.42
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.85
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 32 |
| Pacemaker insertion or repair | 26 |
| Varicose vein removal | 32 |
| Leg revascularization (restoring blood flow) | 11 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.206853 | LA | MD | Interventional Cardiology Physician |
| 26033 | MS | MD | Interventional Cardiology Physician |
| S0909 | TX | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiac Cath Lab of Conroe, LP | Current | Accepting new patients | |
| South Arkansas Physician Services LLC | Internal Medicine | Current | Accepting new patients |
| Arif Abdullah MD PA | Current | Accepting new patients | |
| Cardiovascular Care Providers, Inc. | Past | Accepting new patients |
Locations
620 W Grove St
Ste 202
El Dorado, AR 71730
Phone (870) 863-2420
601 River Pointe Dr
Ste 105
Conroe, TX 77304
Phone (936) 441-5550
102 Medical Park Ln
Ste A
Huntsville, TX 77340
Phone (936) 294-0971
17183 I 45 S
Ste 350
Shenandoah, TX 77385
Phone (936) 321-0080
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Conroe, TX
- NPI 1477631406
-
dba College Park Heart & Vascular Center
- Multi-Specialty Clinic/Center
- Shenandoah, TX
- NPI 1194005603
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1427018704
Internal Medicine
-
- Specialist
- Houston, TX
- NPI 1437242617
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Conroe Regional Medical Center
- General Acute Care Hospital
- Conroe, TX
- NPI 1962455816
-
dba Huntsville Memorial Hospital
- General Acute Care Hospital
- Huntsville, TX
- NPI 1245878990
-
dba Houston Methodist The Woodlands Hospital
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1184179194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1033425087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4215 15TH ST",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395012523",
"telephone_number": "228-863-5211",
"fax_number": "228-863-4101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 RIVER POINTE DR STE 105",
"city": "CONROE",
"state": "TX",
"postal_code": "773042943",
"telephone_number": "936-539-5577",
"fax_number": "936-539-5550"
}
],
"practiceLocations": [
{
"address_1": "1 Mercado St Ste 130",
"address_purpose": "LOCATION",
"city": "Durango",
"state": "CO",
"postal_code": "813017306",
"country_code": "US",
"telephone_number": "970-247-1120",
"fax_number": "970-247-1128",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4215 15th St",
"address_purpose": "LOCATION",
"city": "Gulfport",
"state": "MS",
"postal_code": "39501",
"country_code": "US",
"telephone_number": "228-863-5211",
"fax_number": "228-863-4101",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "102 Medical Park Ln Ste A",
"address_purpose": "LOCATION",
"city": "Huntsville",
"state": "TX",
"postal_code": "773404975",
"country_code": "US",
"telephone_number": "936-539-5577",
"fax_number": "936-539-5550",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4215 15th St",
"address_purpose": "LOCATION",
"city": "Gulfport",
"state": "MS",
"postal_code": "39501",
"country_code": "US",
"telephone_number": "228-863-5211",
"fax_number": "228-863-4101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAVED",
"first_name": "FAHAD",
"name_prefix": "Dr.",
"credential": "M.D.,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-27",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "266935",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MS",
"license": "26033",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CO",
"license": "DR.0062918",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "TX",
"license": "S0909",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "LA",
"license": "MD.206853",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "E-12343",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.