Organization Active NPI

East Texas Cardiology P.a.

  • Cardiovascular Disease Physician
  • Houston, TX
National Provider Identifier
1073550208
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
EAST TEXAS CARDIOLOGY P.A.
Practice address
2000 Crawford St
1403
Houston, TX 77002-9000
Phone
(713) 651-1787
Fax
(713) 651-1791
NPI assigned
May 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Authorized official

Name
Dr. Anwar Ahmad, M.D.NPI 1598704819
Title
Member
Phone
(713) 651-1787

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

2000 Crawford St
1403
Houston, TX 77002-9000

Mailing address

PO Box 36728
Houston, TX 77236-6728
Phone (713) 651-1787

Other identifiers 3

IdentifierTypeStateIssuer
182758601MedicaidTX
DF0398OtherRAIL ROAD MEDICARE
0070NTOtherBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070913000222 TX Part B Supplier - Clinic/Group Practice 3779677380 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX; Sugar Land, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1064198East Texas Cardiology PA2000 Crawford, Suite 1403, Houston, TX 77002Certificate of waiverJan 30, 2027

National Provider Directory

National Provider Directory

Locations

2000 Crawford St
Ste 1403
Houston, TX 77002
Phone (713) 651-1787

1317 Lake Pointe Pkwy
Sugar Land, TX 77478
Phone (281) 277-1101

145 Promenade Way
Ste 3
Sugar Land, TX 77479
Phone (281) 205-8900

20403 University Blvd
Ste 600
Sugar Land, TX 77478
Phone (281) 340-9000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1073550208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36728",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772366728",
            "telephone_number": "713-651-1787",
            "fax_number": "713-651-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CRAWFORD ST",
            "address_2": "1403",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770029000",
            "telephone_number": "713-651-1787",
            "fax_number": "713-651-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS CARDIOLOGY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "ANWAR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "713-651-1787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182758601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "DF0398",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0070NT",
            "state": null
        }
    ],
    "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 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.