NPIMap

Individual provider Active NPI

Alfred Salim Maksoud, MD

  • Pulmonary Disease Physician
  • Webster, TX
National Provider Identifier
1043287022
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
J5821 Issued in TX
Practice address
501 Orchard St
Suite 200
Webster, TX 77598
Phone
(281) 557-8555
NPI assigned
Mar 8, 2006
Last updated
Aug 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X J5821 TX Primary

Addresses

Primary practice location

501 Orchard St
Suite 200
Webster, TX 77598

Mailing address

501 Orchard St
Ste 200
Webster, TX 77598-4146
Phone (281) 557-8555

Other identifiers 7

IdentifierTypeStateIssuer
86760ZOtherTXRENAISSANCE
8A2942OtherTXBLUE CROSS BLUE SHIELD
0925908OtherTXAETNA HMO
760077790OtherTXGROUP TAX ID
04733901MedicaidTX
5622523OtherTXAETNA EPO-PPO
10021308OtherTXAMERIGROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101202000749 TX Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 9234325226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary and Sleep Physicians of Houston, P.a.Group PAC ID 3870731623, 9 clinicians

Practice addresses (Care Compare)

501 Orchard St
Suite 200
Webster, TX 77598-4146
Phone (281) 557-8555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary and Sleep Physicians of Houston, P.a. Pulmonary Disease CurrentSince Jun 1, 2013 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amaksoud46675@memorialhermann.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IICCCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IICCCA/Endpoint/IICCCA

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.

Hospital & facility affiliations 10

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1043287022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 ORCHARD ST",
            "address_2": "STE 200",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984146",
            "telephone_number": "281-557-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ORCHARD ST",
            "address_2": "SUITE 200",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "77598",
            "telephone_number": "281-557-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKSOUD",
        "first_name": "ALFRED",
        "middle_name": "SALIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "J5821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RENAISSANCE",
            "identifier": "86760Z",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8A2942",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0925908",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TAX ID",
            "identifier": "760077790",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04733901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA EPO-PPO",
            "identifier": "5622523",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10021308",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.