Individual provider Active NPI

Arezo Nasrazadani, MD

  • Child Abuse Pediatrics Physician
  • Houston, TX
National Provider Identifier
1033608096
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Abuse Pediatrics PhysicianTaxonomy code 2080C0008X
License
T2693 Issued in TX
Practice address
6410 Fannin St Ste 825
Houston, TX 77030-5305
Phone
(713) 500-7771
NPI assigned
May 5, 2018
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Abuse Pediatrics Physician 2080C0008X T2693 TX Primary

Addresses

Primary practice location

6410 Fannin St Ste 825
Houston, TX 77030-5305

Mailing address

6410 Fannin St Ste 1425
Houston, TX 77030-5305

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
I20240607000912 TX Practitioner - Pediatric Medicine 8426590274 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Jul 31, 2024 Accepting new patients
Ut Physicians CurrentSince Jul 31, 2024 Accepting new patients

Locations

6410 Fannin St
Ste 1425
Houston, TX 77030
Phone (713) 500-7840

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

6410 Fannin St
Ste 825
Houston, TX 77030
Phone (713) 500-7840

6410 Fannin St
Ste LL135
Houston, TX 77030
Phone (832) 325-6543

6431 Fannin St
Ste Msb
Houston, TX 77030
Phone (713) 500-5800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1525478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1033608096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST STE 1425",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770305305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST STE 825",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770305305",
            "telephone_number": "713-500-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASRAZADANI",
        "first_name": "AREZO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-05",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080C0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Child Abuse Pediatrics",
            "state": "TX",
            "license": "T2693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.