Advanced Houston Surgical, PLLC
Organization Active NPI Surgery Physician · Bellaire, TX
NPI 1093344293 · NPPES record last updated Oct 5, 2023
Key facts
- NPI
- 1093344293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- ADVANCED HOUSTON SURGICAL, PLLC
- Practice address
- 6300 West Loop S Ste 495
Bellaire, TX 77401-2951 - Phone
- (713) 263-3900
- Fax
- (855) 583-1961
- NPI assigned
- Apr 8, 2020
- Organization subpart
- No
Authorized official
- Name
- Rizwan Chaudhry, MD
- Title
- Owner
- Phone
- (513) 238-9781
Owned or controlled facilities with NPI records 1
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| West Chase Houston Hospital LP |
Hospital | Limited Partnership Interest (4.09%) | Jul 1, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231012001507 | TX | Part B Supplier - Clinic/Group Practice | 8820330665 |
Receives reassigned benefits from 1 practitioner Practice locations: Bellaire, TX |
National Provider Directory
Locations
6300 West Loop S
Ste 495
Bellaire, TX 77401
Phone (713) 263-3900
525 Blossom St
Webster, TX 77598
Phone (832) 905-4186
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CJDBDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | Yes |
Addresses
Primary practice location
6300 West Loop S Ste 495
Bellaire, TX 77401-2951
Mailing address
6300 West Loop S Ste 495
Bellaire, TX 77401-2951
Phone (713) 263-3900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32063313509 | Other | TX | TEXAS SECRETARY OF STATE COMPTROLLER'S OFFICE |
Other providers in Bellaire, TX
- Jeromee Adkins
- Advance Testing Laboratory, LLC
- Advanced Cardiovascular Diagnostic
- Advanced Cardiovasular Diagnostics Pro LLC
- Advanced Functional Rehab
- Advanced Longevity LLC
- Advanced Medical Imaging of Bellaire, LLC
- Advanced Practice Clinicians of Texas
- Advanced Surgical Solutions of Bellaire, LLC
- Ae Health PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.