Organization Active NPI

Advanced Houston Surgical, PLLC

  • Surgery Physician
  • Bellaire, TX
National Provider Identifier
1093344293
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 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
Last updated
Oct 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Rizwan Chaudhry, MDNPI 1942328778
Title
Owner
Phone
(513) 238-9781

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231012001507 TX Part B Supplier - Clinic/Group Practice 8820330665 Receives reassigned benefits from 1 practitioner
Practice locations: Bellaire, TX

National Provider Directory

National Provider Directory

Locations

6300 West Loop S
Ste 495
Bellaire, TX 77401
Phone (713) 263-3900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJDBDD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
West Chase Houston Hospital LPHouston, TX, CCN 670135 Hospital Limited Partnership Interest (4.09%) Jul 1, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

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": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1093344293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 WEST LOOP S STE 495",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012951",
            "telephone_number": "713-263-3900",
            "fax_number": "855-583-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 WEST LOOP S STE 495",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012951",
            "telephone_number": "713-263-3900",
            "fax_number": "855-583-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HOUSTON SURGICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRY",
        "authorized_official_first_name": "RIZWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-238-9781",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.