Individual provider Active NPI

Tahira Zaidi, D.O.

  • Pediatrics Physician
  • Stafford, TX
National Provider Identifier
1073706172
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N6789 Issued in TX
Practice address
10435 Greenbough Dr
Stafford, TX 77477-5000
Phone
(281) 342-4530
NPI assigned
Aug 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X N6789 TX Primary

Addresses

Primary practice location

10435 Greenbough Dr
Stafford, TX 77477-5000

Mailing address

400 Austin St
Richmond, TX 77469-4406
Phone (281) 342-4530

Other practice location 1

400 Austin St
Richmond, TX 77469-4406
Phone (281) 342-4530

Other practice location 2

5616 Lawndale St Ste A203
Houston, TX 77023-3821
Phone (713) 923-2273

Other identifiers 1

IdentifierTypeStateIssuer
303397901MedicaidTX

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
I20120521000362 TX Practitioner - Pediatric Medicine 2860655370 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N6789TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Bend Family Health Center, Inc. CurrentSince Mar 1, 2018 Accepting new patients
Fort Bend Family Health Center, Inc CurrentSince Mar 1, 2018 Accepting new patients
Fort Bend Family Health Center, Inc. PastSince Nov 21, 2021 Accepting new patients
Fort Bend Family Health Center, Inc Past Accepting new patients
Santa Clara Family Clinic PLLC Pediatrics Past Accepting new patients

Locations

400 Austin St
Richmond, TX 77469
Phone (281) 342-4530

10435 Greenbough Dr
Ste 300
Stafford, TX 77477
Phone (281) 261-0182

Interoperability endpoints

  • Direct secure messaging: tahira.zaidi@direct.accesshealth.nextgenshare.com

Organizations & group practices 5

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": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1073706172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 AUSTIN ST",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774694406",
            "telephone_number": "281-342-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10435 GREENBOUGH DR",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775000",
            "telephone_number": "281-342-4530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Austin St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774694406",
            "country_code": "US",
            "telephone_number": "281-342-4530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5616 Lawndale St Ste A203",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770233821",
            "country_code": "US",
            "telephone_number": "713-923-2273",
            "fax_number": "713-923-2276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAIDI",
        "first_name": "TAHIRA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N6789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303397901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

Verify at the official NPI Registry.