Hossein Yazdani, MD
Individual provider Active NPI Family Medicine Physician · Anahuac, TX
NPI 1043201635 · NPPES record last updated Feb 13, 2017
Key facts
- NPI
- 1043201635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- K1957 (TX)
- Practice address
- 105 S Kansas Street
Anahuac, TX 77514-1703 - Phone
- (409) 267-3118
- Fax
- (409) 267-3740
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- United Care Physicians Group PLLC
Practice addresses (Care Compare)
510 W Tidwell Rd
Houston, TX 77091-4339
Phone (281) 618-8504
Hospital & facility affiliations
- Baytown Medical Center LP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070809000515 | TX | Practitioner - Emergency Medicine |
6507957347 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Medical Group PLLC | Emergency Medicine | Current |
Accepting new patients |
| United Care Physicians Group PLLC | Current |
Accepting new patients | |
| Concord Medical Group of Texas PLLC | Emergency Medicine | Current |
Accepting new patients |
| Ess of South Texas LLC | Emergency Medicine | Current |
Accepting new patients |
| Champion Anesthesia Consultants, PLLC | Current |
Accepting new patients | |
| Bellville Hospital District | Emergency Medicine | Past | Accepting new patients |
| Matagorda Emergency Medicine Associates PA | Emergency Medicine | Past | Accepting new patients |
| Bellville Medical Center | Family Medicine | Past |
Accepting new patients |
| Wharton Emergency Medicine Associates PA | Emergency Medicine | Past | Accepting new patients |
| Tomball Hospital Authority | Past | Accepting new patients | |
| Signature Emergency Care PA | Past | Accepting new patients | |
| Cleveland Emergency Group PA | Emergency Medicine | Past | Accepting new patients |
Locations
901 W 38th St
Ste 405
Austin, TX 78705
Phone (512) 420-8813
44 N Cummings St
Bellville, TX 77418
Phone (979) 413-7400
11990 N Central Expy
Dallas, TX 75243
Phone (469) 624-5752
303 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
510 W Tidwell Rd
Houston, TX 77091
Phone (281) 618-8500
2001 Hermann Dr
Houston, TX 77004
Phone (713) 285-5500
1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316
400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891
1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611
4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000
305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K1957 | TX | Yes |
| General Practice Physician | 208D00000X | K1957 | TX | |
| Emergency Medicine Physician | 207P00000X | K1957 | TX |
Addresses
Primary practice location
105 S Kansas Street
Anahuac, TX 77514-1703
Mailing address
PO Box C
Anahuac, TX 77514-1703
Phone (409) 267-3118
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127093606 | Medicaid | TX | |
| 8784NO | Other | TX | MEDICARE |
Other providers in Anahuac, TX
- Ward Family Practice, PA
- Ward FP, LLC
- Wilcox Drug Store Inc
- Dave C Wilcox
- Winnie Community Hospital LLC
All providers in Anahuac, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.