Murtaza Mussaji, D.O., P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M3335 Issued in TX

Legal business name

MURTAZA MUSSAJI, D.O., P.A.

Practice address

4910 Telephone Rd
Houston, TX 77087-3504

Phone

(713) 641-3900

Fax

(713) 641-3901

NPI assigned

Aug 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Murtaza Mussaji, D.O.NPI 1487705034

Title

President

Phone

(713) 641-3900

Specialties & licenses 2

Addresses

Other names 1

• Fairway Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Murtaza Mussaji, D.O., P.a

  • Internal Medicine Physician
  • Pearland, TX
  • NPI 1134409998

  O20090407000434

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Murtaza Mussaji, DO

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1487705034
  Medicare reassignment Authorized official
• Vincent Kanayathu Alexander, FNP

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1053969956
  NPD (past)
• Daneila Shantel Severns, PA-C

  • Physician Assistant
  • Kingwood, TX
  • NPI 1750043386
  NPD (past)
• Lacheria Vanburen, FNP

  • Family Nurse Practitioner
  • Pearland, TX
  • NPI 1790221919
  NPD (past)

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1164679494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 TELEPHONE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770873504",
            "telephone_number": "713-641-3900",
            "fax_number": "713-641-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 TELEPHONE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770873504",
            "telephone_number": "713-641-3900",
            "fax_number": "713-641-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURTAZA MUSSAJI, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "MUSSAJI",
        "authorized_official_first_name": "MURTAZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-641-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M3335",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M3335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairway Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jackson Murrey-Ittmann, MD
• Morgan Murrey-Ittmann
• Cartica Murrill, PA
• Javel Davon Murry
• Quinton Murry
• Ghulam Murtaza, M.D.
• Syed Muhammad Murtaza, M.B.B.S
• Asha Murthy, MD
• Bhamidipati V Murthy, M.D.
• Bhavini Patel Murthy, MD, MPH

• Internal Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.