Individual provider Active NPI

Mouin F. Sabbagh, M.D.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1114937885
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J6229 Issued in TX
Practice address
4200 Twelve Oaks Dr
Houston, TX 77027-6812
Phone
(713) 795-4884
Fax
(713) 383-4446
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J6229 TX Primary

Addresses

Primary practice location

4200 Twelve Oaks Dr
Houston, TX 77027-6812

Mailing address

3027 Pelican CV
Missouri City, TX 77459-7639
Phone (979) 235-0088

Other identifiers 2

IdentifierTypeStateIssuer
096698802MedicaidTX
01867596MedicaidTX

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
I20080317000212 TX Practitioner - Internal Medicine 9638254550 Reassigns benefits to 1 organization
Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Surgeons and Physicians Network IncGroup PAC ID 8426304221, 62 clinicians

Practice addresses (Care Compare)

4200 Twelve Oaks Dr
Houston, TX 77027-6812
Phone (713) 795-4884

Hospital & facility affiliations

  • Ad Hospital East, LLC Hospital, Houston, TX, CCN 670102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J6229TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Surgeons & Physicians Network, Inc. CurrentSince Nov 1, 2021 Accepting new patients

Locations

4200 Twelve Oaks Dr
Houston, TX 77027
Phone (713) 621-5010

4140 Southwest Fwy
Houston, TX 77027
Phone (713) 650-1900

4200 Twelve Oaks Dr
Fl 1
Houston, TX 77027

4200 Twelve Oaks Dr
Fl Third
Houston, TX 77027

12930 East Fwy
Houston, TX 77015
Phone (281) 704-3836

Interoperability endpoints

  • Direct secure messaging: mouin.sabbagh.2@13131.direct.athenahealth.com
  • Direct secure messaging: mouin.sabbagh.1@13131.direct.athenahealth.com

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 1

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1114937885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3027 PELICAN CV",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774597639",
            "telephone_number": "979-235-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 TWELVE OAKS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770276812",
            "telephone_number": "713-795-4884",
            "fax_number": "713-383-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABBAGH",
        "first_name": "MOUIN",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J6229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096698802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01867596",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.