Individual provider Active NPI

Ali Moussaoui, M.D.

  • Neuromuscular Medicine (Psychiatry & Neurology) Physician
  • Houston, TX
National Provider Identifier
1114921905
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084N0008X
License
K4161 Issued in TX
Practice address
11914 Astoria Blvd
Houston, TX 77089-6064
Phone
(832) 831-1840
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X K4161 TX Primary
Neurology Physician 2084N0400X K4161 TX

Addresses

Primary practice location

11914 Astoria Blvd
Houston, TX 77089-6064

Mailing address

PO Box 58805
Webster, TX 77598-8805
Phone (832) 290-1722

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
I20040806000930 TX Practitioner - Neurology 2961474374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11914 Astoria Blvd
Suite 480
Houston, TX 77089-6085
Phone (832) 831-1840

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K4161TXMDNeuromuscular Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ali Moussaoui MD PA Neuromuscular Medicine CurrentSince Sep 1, 2004 Accepting new patients
Neurology & Neurodiagnostic Clinic of Houston, PLLC Neurology Current Accepting new patients
Sherman Grayson Hospital LLC Current Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Elizabeth Gordon MD PA Past Accepting new patients

Locations

11914 Astoria Blvd
Houston, TX 77089
Phone (281) 929-4112

11914 Astoria Blvd
Ste 480
Houston, TX 77089
Phone (346) 642-6891

18300 Houston Methodist Dr
Houston, TX 77058
Phone (281) 206-9020

6550 Fannin St
Houston, TX 77030
Phone (713) 363-9604

3801 Vista Rd
Ste 320
Pasadena, TX 77504
Phone (832) 290-1722

1111 Highway 6
Ste 130
Sugar Land, TX 77478
Phone (281) 491-9191

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

Interoperability endpoints

  • Direct secure messaging: alimoussaoui@wnjrmc.allscriptsdirect.net

Organizations & group practices 5

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 5

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1114921905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58805",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775988805",
            "telephone_number": "832-290-1722",
            "fax_number": "844-413-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11914 ASTORIA BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896064",
            "telephone_number": "832-831-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSSAOUI",
        "first_name": "ALI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "TX",
            "license": "K4161",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "K4161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.