Individual provider Active NPI

Mohsen Akhlaghi, M.D.

  • Emergency Medicine Physician
  • Houston, TX
National Provider Identifier
1093795437
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME86311 Issued in FL
Practice address
1504 Taub Loop
Emergency Medicine Dpet
Houston, TX 77030-1608
Phone
(713) 873-8555
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME86311 FL Primary
Emergency Medicine Physician 207P00000X N4241 TX

Addresses

Primary practice location

1504 Taub Loop
Emergency Medicine Dpet
Houston, TX 77030-1608

Mailing address

1504 Taub Loop
Dept of Emegency Medicine
Houston, TX 77030-1608
Phone (713) 873-8555

Other identifiers 2

IdentifierTypeStateIssuer
2682818-00MedicaidFL
242721114AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040220000665 FL Practitioner - Emergency Medicine 0143115741 Reassigns benefits to 2 organizations
I20060220000134 GA Practitioner - Emergency Medicine 0143115741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001528NYMDRegistered Dietitian
N4241TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Inc Emergency Medicine CurrentSince Jan 1, 2012 Accepting new patients
Emergency Physicians Inc Emergency Medicine CurrentSince Jan 1, 2012 Accepting new patients
Our Lady of Mercy Medical Center Emergency Medicine Past Accepting new patients
Mayo Clinic Health System in Waycross, Inc. Past Accepting new patients
Emergency Medicine South LLC Emergency Medicine Past Accepting new patients
Physicians Medical Center, Inc. Past Accepting new patients
Darling Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Physicians Medical Centers-Jax Inc PastSince Sep 25, 2012 Accepting new patients

Locations

1250 S 18th St
Ste 202
Fernandina Beach, FL 32034
Phone (904) 202-2000

1747 Baptist Clay Dr
Ste 250
Fleming Isle, FL 32003
Phone (904) 516-1000

820 Prudential Dr
Ste 713
Jacksonville, FL 32207
Phone (800) 936-5996

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1093795437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 TAUB LOOP",
            "address_2": "DEPT OF EMEGENCY MEDICINE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301608",
            "telephone_number": "713-873-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 TAUB LOOP",
            "address_2": "EMERGENCY MEDICINE DPET",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301608",
            "telephone_number": "713-873-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKHLAGHI",
        "first_name": "MOHSEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME86311",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N4241",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2682818-00",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242721114A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.