Organization Active NPI

Cardiovascular Medicine Assoc., P.a.

  • Specialist
  • Houston, TX
National Provider Identifier
1063547891
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CARDIOVASCULAR MEDICINE ASSOC., P.A.
Practice address
7737 Southwest Fwy
Suite 955
Houston, TX 77074-1807
Phone
(713) 988-2223
Fax
(713) 988-2232
NPI assigned
Feb 22, 2007
Last updated
Nov 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Authorized official

Name
Iyad Daher, M.D.NPI 1154544005
Title
Owner and Ceo
Phone
(713) 988-2223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

7737 Southwest Fwy
Suite 955
Houston, TX 77074-1807

Mailing address

7737 Southwest Fwy
Suite 955
Houston, TX 77074-1807
Phone (713) 988-2223

Other identifiers 1

IdentifierTypeStateIssuer
083673601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050815000357 TX Part B Supplier - Clinic/Group Practice 6103856760 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

1065 Gessner Rd
Ste 203
Houston, TX 77055
Phone (713) 490-1493

7737 Southwest Fwy
Ste 955
Houston, TX 77074
Phone (713) 988-2223

14815 Southwest Fwy
#A
Sugar Land, TX 77478
Phone (281) 313-6300

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1063547891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7737 SOUTHWEST FWY",
            "address_2": "SUITE 955",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741807",
            "telephone_number": "713-988-2223",
            "fax_number": "713-988-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7737 SOUTHWEST FWY",
            "address_2": "SUITE 955",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741807",
            "telephone_number": "713-988-2223",
            "fax_number": "713-988-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR MEDICINE ASSOC., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "DAHER",
        "authorized_official_first_name": "IYAD",
        "authorized_official_title_or_position": "OWNER AND CEO",
        "authorized_official_telephone_number": "713-988-2223",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083673601",
            "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 Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.