Individual provider Active NPI

Aziz Shaibani, MD

  • Neurology Physician
  • Houston, TX
National Provider Identifier
1164423588
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
J5033 Issued in TX
Practice address
6624 Fannin St
Suite 1670
Houston, TX 77030-2312
Phone
(713) 795-0033
Fax
(713) 796-9302
NPI assigned
Aug 9, 2005
Reactivated
Jun 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X J5033 TX Primary

Addresses

Primary practice location

6624 Fannin St
Suite 1670
Houston, TX 77030-2312

Mailing address

6624 Fannin St Ste 1670
Houston, TX 77030-2340
Phone (713) 795-0033

Other identifiers 1

IdentifierTypeStateIssuer
0797425-01MedicaidTX

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
I20060103000370 TX Practitioner - Neurology 0840212940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6624 Fannin St
Suite 1670
Houston, TX 77030-2340
Phone (713) 795-0033

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J5033TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Neurocare, P.a. Neurology CurrentSince Dec 27, 1993 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

6624 Fannin St
Ste 1670
Houston, TX 77030
Phone (713) 795-0033

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECEBCA/Endpoint/ECEBCA
  • Direct secure messaging: ashaibani@direct.uspi.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ECEBCA

Organizations & group practices 2

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 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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1164423588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6624 FANNIN ST STE 1670",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302340",
            "telephone_number": "713-795-0033",
            "fax_number": "713-796-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6624 FANNIN ST",
            "address_2": "SUITE 1670",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302312",
            "telephone_number": "713-795-0033",
            "fax_number": "713-796-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAIBANI",
        "first_name": "AZIZ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "J5033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0797425-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.