Individual provider Active NPI

Nidal Ganim

  • Cardiovascular Disease Physician
  • Humble, TX
National Provider Identifier
1104244680
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
Q8059 Issued in TX
Practice address
18450 Highway 59 N
Humble, TX 77338-4404
Phone
(281) 446-6656
Fax
(281) 446-6657
NPI assigned
Apr 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Q8059 TX Primary

Addresses

Primary practice location

18450 Highway 59 N
Humble, TX 77338-4404

Mailing address

18450 Highway 59 N
Humble, TX 77338-4404
Phone (281) 446-6656

Other practice location 1

2708 Jefferson Dr
Liberty, TX 77575-1037
Phone (281) 446-6656

Other practice location 2

800 Peakwood Dr Ste 2E
Houston, TX 77090-2913
Phone (281) 572-0248

Other identifiers 2

IdentifierTypeStateIssuer
1104244680MedicaidTX
8PZ112OtherTXBCBS

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
I20210803002752 TX Practitioner - Cardiovascular Disease (Cardiology) 8729482476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Texas Medical School at Houston, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Association, P.L.L.C.Group PAC ID 5294625042, 52 clinicians

Practice addresses (Care Compare)

18450 Hwy 59 N
Humble, TX 77338-4404
Phone (281) 446-6656

Hospital & facility affiliations

  • HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775
  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684
  • Liberty Dayton Regional Medical Center Hospital, Liberty, TX, CCN 451375

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q8059TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Association, P.L.L.C Cardiovascular Disease CurrentSince Jul 28, 2021 Accepting new patients

Locations

800 Peakwood Dr
Ste 2E
Houston, TX 77090
Phone (281) 377-1000

18450 Highway 59 N
Humble, TX 77338
Phone (281) 446-6566

2708 Jefferson Dr
Liberty, TX 77575
Phone (936) 334-8800

15200 Southwest Fwy
Ste 270
Sugar Land, TX 77478
Phone (281) 661-2447

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1104244680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18450 HIGHWAY 59 N",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384404",
            "telephone_number": "281-446-6656",
            "fax_number": "281-446-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18450 HIGHWAY 59 N",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384404",
            "telephone_number": "281-446-6656",
            "fax_number": "281-446-6657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2708 Jefferson Dr",
            "address_purpose": "LOCATION",
            "city": "Liberty",
            "state": "TX",
            "postal_code": "775751037",
            "country_code": "US",
            "telephone_number": "281-446-6656",
            "fax_number": "281-446-6657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Peakwood Dr Ste 2E",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770902913",
            "country_code": "US",
            "telephone_number": "281-572-0248",
            "fax_number": "281-446-6657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANIM",
        "first_name": "NIDAL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-02",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "Q8059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104244680",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8PZ112",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.