Individual provider Active NPI

Yassmen El-Kulak, PA-C

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1083449359
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
19200 Space Center Blvd Apt 2225
Houston, TX 77058-3858
Phone
(440) 305-3819
NPI assigned
Sep 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

19200 Space Center Blvd Apt 2225
Houston, TX 77058-3858

Mailing address

19200 Space Center Blvd Apt 2225
Houston, TX 77058-3858

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250711003026 TX Practitioner - Physician Assistant 8123555158 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

Practice addresses (Care Compare)

519 9TH Ave N
Texas City, TX 77590-6316
Phone (409) 949-9499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Rehab Consultants PLLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

519 9th Ave N
Texas City, TX 77590
Phone (409) 949-9499

2450 E 5th St
Tyler, TX 75701
Phone (903) 592-6745

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": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1083449359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19200 SPACE CENTER BLVD APT 2225",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19200 SPACE CENTER BLVD APT 2225",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583858",
            "telephone_number": "440-305-3819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-KULAK",
        "first_name": "YASSMEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.