Individual provider Active NPI

Azita Madjidi, MD

  • Plastic Surgery Physician
  • Houston, TX
National Provider Identifier
1053585281
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
L6506 Issued in TX
Practice address
6624 Fannin St Ste 1600
Houston, TX 77030-2328
Phone
(713) 797-1000
Fax
(713) 795-0949
NPI assigned
Apr 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X L6506 TX Primary

Addresses

Primary practice location

6624 Fannin St Ste 1600
Houston, TX 77030-2328

Mailing address

3755 Maroneal St
Houston, TX 77025-1219
Phone (713) 838-8276

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
I20081015000090 TX Practitioner - Plastic and Reconstructive Surgery 2264590579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6624 Fannin St
Suite 2590
Houston, TX 77030-2337
Phone (713) 797-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L6506TXMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Azita Madjidi MD Ms PA Plastic Surgery CurrentSince Dec 12, 2014 Accepting new patients
Plastic Surgery Specialists PA Plastic Surgery Past Accepting new patients

Locations

6624 Fannin St
Ste 2590
Houston, TX 77030
Phone (713) 797-1000

6624 Fannin St
Ste 1600
Houston, TX 77030
Phone (713) 795-5353

Interoperability endpoints

  • Direct secure messaging: amadjidi27539@directhoustonmethodist.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1053585281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 MARONEAL ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251219",
            "telephone_number": "713-838-8276",
            "fax_number": "713-666-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6624 FANNIN ST STE 1600",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302328",
            "telephone_number": "713-797-1000",
            "fax_number": "713-795-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADJIDI",
        "first_name": "AZITA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "L6506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.