Active NPI
Abdul Q Memon, M.D.
- Pain Medicine (Anesthesiology) Physician
- Houston, TX
National Provider Identifier
1043201650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- E9804
- Practice address
- 403 Coachman LN
Houston, TX 77024-6401 - Phone
- (713) 464-6104
- Fax
- (713) 464-3955
- NPI assigned
- Nov 2, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | E9804 | TX | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | E9804 | TX | Primary |
Addresses
Primary practice location
403 Coachman LN
Houston, TX 77024-6401
Mailing address
P O Box 73265
Houston, TX 77273-3265
Phone (281) 580-9030
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050043865 | Other | TX | MEDICARE RAILROAD |
| 120535302 | Medicaid | TX | |
| 84Y621 | Other | TX | BLUE CROSS BLUE SHIELD |
| 120535307 | Medicaid | TX |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E9804 | TX | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Anesthesia Associates, LLP | Pain Medicine | Past | Accepting new patients |
| Texas Pain Consultants, LLP | Pain Medicine | Past | Accepting new patients |
| Houston Cypress Anesthesia LLP | Anesthesiology | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/957/brand/1/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Houston, TX
- NPI 1013961762
-
- Pain Medicine (Anesthesiology) Physician
- Houston, TX
- NPI 1104868686
-
- Pain Medicine (Anesthesiology) Physician
- Sugar Land, TX
- NPI 1932211992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358294400000",
"number": "1043201650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 73265",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772733265",
"telephone_number": "281-580-9030",
"fax_number": "281-580-2725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 COACHMAN LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770246401",
"telephone_number": "713-464-6104",
"fax_number": "713-464-3955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEMON",
"first_name": "ABDUL",
"middle_name": "Q",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2013-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "E9804",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": "E9804",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "050043865",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120535302",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "84Y621",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120535307",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.