Individual provider Active NPI

Ali Ayoubi, M.D.

  • Cardiovascular Disease Physician
  • Shenandoah, TX
National Provider Identifier
1104948017
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
R0354 Issued in TX
Practice address
150 Pine Forest Dr Ste 702
Shenandoah, TX 77384-5317
Phone
(936) 321-1111
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 7

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 8

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

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Indiana University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David P Ellent PLLC 57 clinicians

Practice addresses (Care Compare)

150 Pine Forest Dr
Suite 702
Shenandoah, TX 77384-5317
Phone (936) 321-1111

22751 Professional Dr
Suite 140
Kingwood, TX 77339-6024
Phone (281) 440-5300

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • HCA Houston Healthcare Northwest Hospital, Houston, TX, CCN 450638
  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

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
I20170104002214 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 5193809648 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Aug 7, 2017 Accepting new patients
David P Ellent PLLC CurrentSince Aug 1, 2025 Accepting new patients
TMH Physician Associates PLLC CurrentSince Aug 7, 2017 Accepting new patients
David P Ellent PLLC CurrentSince Aug 1, 2025 Accepting new patients
Woodlands Elite Cardiology, PLLC Interventional Cardiology CurrentSince Feb 1, 2019 Accepting new patients
Creekside Premier Medical Group PLLC Past Accepting new patients

Locations

108 N Main St
Ste A
Dayton, TX 77535

108 N Main St
#A
Dayton, TX 77535
Phone (936) 258-4920

710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000

22751 Professional Dr
Ste 140
Kingwood, TX 77339
Phone (281) 319-8380

1710 W Lake Houston Pkwy
Ste 260
Kingwood, TX 77339
Phone (832) 447-7494

150 Pine Forest Dr
Ste 702
Shenandoah, TX 77384
Phone (832) 648-7779

17183 Interstate 45 S
Ste 640
Shenandoah, TX 77385
Phone (936) 270-3880

3466 Discovery Creek Blvd
Ste 600
Spring, TX 77386
Phone (324) 926-5448

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

9303 Pinecroft Dr
Ste 340
The Woodlands, TX 77380
Phone (281) 681-0616

Interoperability endpoints

  • Direct secure messaging: ali.ayoubi.1@19704.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HHDIBD/Endpoint/HHDIBD

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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 R0354 TX Primary

Addresses

Primary practice location

150 Pine Forest Dr Ste 702
Shenandoah, TX 77384-5317

Mailing address

150 Pine Forest Dr Ste 702
Shenandoah, TX 77384-5317
Phone (936) 321-1111

Other identifiers 2

IdentifierTypeStateIssuer
2796863MedicaidOH
374388201MedicaidTX

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1104948017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PINE FOREST DR STE 702",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773845317",
            "telephone_number": "936-321-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PINE FOREST DR STE 702",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773845317",
            "telephone_number": "936-321-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYOUBI",
        "first_name": "ALI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "R0354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2796863",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374388201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.