Active NPI
Khaja Moinuddeen, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Sugar Land, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- N0286
- Practice address
- 4911 Sandhill Dr
Sugar Land, TX 77479-5320 - Phone
- (281) 238-7870
- Fax
- (281) 633-4985
- NPI assigned
- Jan 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 21707 | WV | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | N0286 | TX | Primary |
Addresses
Primary practice location
4911 Sandhill Dr
Sugar Land, TX 77479-5320
Mailing address
4911 Sandhill Dr
Sugar Land, TX 77479-5320
Phone (281) 238-7870
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 299860102 | Medicaid | TX | |
| 3810001306 | Medicaid | WV |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | KHAJA.MOINUDDEEN@hca9.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120420000050 | TX | Practitioner - Cardiac Surgery | 9739142019 | Reassigns benefits to 3 organizations |
| I20241030004026 | ND | Practitioner - Thoracic Surgery | 9739142019 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Surgery
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
450 W Medical Ctr Blvd
600 Clear Lake Regional Medical Center
Webster, TX 77598-4233
Phone (281) 332-4596
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
Hospital & facility affiliations
- HCA Houston Healthcare Southeast
- HCA Houston Healthcare Clear Lake
- Christus Southeast Texas- St Elizabeth
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakbend Medical Group | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Oakbend Medical Group | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Surgical Specialists of Clear Lake PLLC | Surgery | Current | Accepting new patients |
| Altru Health System | Surgery | Current | Accepting new patients |
| Camden-Clark Physician Corporation | Surgery | Past | Accepting new patients |
| Cardiovascular Care Providers, Inc. | Past | Accepting new patients | |
| Camden Clark Memorial Hospital Corporation | Past | Accepting new patients | |
| Southern Texas Physicians Network Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
| Khaja Moinuddeen,MD,PA | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
Locations
1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
3801 Vista Rd
Ste 300
Pasadena, TX 77504
Phone (713) 359-2221
3801 Vista Rd
Ste 360
Pasadena, TX 77504
Phone (713) 359-2221
4000 Spencer Hwy
Pasadena, TX 77504
Phone (713) 359-1000
4911 Sandhill Dr
Sugar Land, TX 77479
Phone (281) 238-7870
16655 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 274-7117
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
450 W Medical Center Blvd
Ste 600
Webster, TX 77598
Phone (281) 338-3270
Interoperability endpoints
- kmoinuddeen432609@christushealth.direct-ci.net
- kmoinuddeen26726@directhoustonmethodist.org
Organizations & group practices 13
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Sugar Land, TX
- NPI 1154608974
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Rural Health Clinic/Center
- Wharton, TX
- NPI 1578141388
-
- Ambulance
- Grand Forks, ND
- NPI 1114485315
-
- General Acute Care Hospital
- Grand Forks, ND
- NPI 1154346161
-
- Specialist
- Houston, TX
- NPI 1437242617
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Conroe, TX
- NPI 1538104351
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- General Acute Care Hospital
- Parkersburg, WV
- NPI 1699704254
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": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1154300903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4911 SANDHILL DR",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774795320",
"telephone_number": "281-238-7870",
"fax_number": "281-633-4985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4911 SANDHILL DR",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774795320",
"telephone_number": "281-238-7870",
"fax_number": "281-633-4985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOINUDDEEN",
"first_name": "KHAJA",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WV",
"license": "21707",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TX",
"license": "N0286",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "299860102",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810001306",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "KHAJA.MOINUDDEEN@hca9.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "4911 Sandhill Dr",
"city": "Sugar Land",
"state": "TX",
"country_code": "US",
"postal_code": "774795320",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.