Individual provider Active NPI

Iyad Nassim Daher, MD

  • Cardiovascular Disease Physician
  • Houston, TX
National Provider Identifier
1154544005
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
BP40018170 Issued in TX
Practice address
1515 Holcombe Blvd
Houston, TX 77030-4009
Phone
(713) 192-6161
NPI assigned
Apr 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 BP40018170 TX Primary

Addresses

Primary practice location

1515 Holcombe Blvd
Houston, TX 77030-4009

Mailing address

10034 Victoria Ridge LN
Houston, TX 77075-2700
Phone (832) 477-3138

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
I20070727000306 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4981705449 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7737 Southwest Fwy
Suite 970
Houston, TX 77074-1889
Phone (713) 988-2223

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP40018170TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oakbend Medical Group CurrentSince Sep 1, 2022 Accepting new patients
Oakbend Medical Group CurrentSince Sep 1, 2022 Accepting new patients
Memorial MRI and Diagnostic LLC CurrentSince Feb 3, 2023 Accepting new patients

Locations

1346 Campbell Rd
Houston, TX 77055

1241 Campbell Rd
Houston, TX 77055
Phone (713) 568-6095

1705 Jackson St
Richmond, TX 77469
Phone (281) 341-3000

4911 Sandhill Dr
Sugar Land, TX 77479
Phone (281) 238-7870

Interoperability endpoints

  • Direct secure messaging: iyad.daher.1@4322.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154544005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10034 VICTORIA RIDGE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770752700",
            "telephone_number": "832-477-3138",
            "fax_number": "409-772-4982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 HOLCOMBE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304009",
            "telephone_number": "713-192-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHER",
        "first_name": "IYAD",
        "middle_name": "NASSIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "BP40018170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.