Hormozd Bozorgchami, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

R7675 Issued in TX

Practice address

17198 St Lukes Way Ste 600
The Woodlands, TX 77384-8017

Phone

(936) 266-2450

Fax

(936) 266-8602

NPI assigned

Aug 20, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 7

Addresses

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

Specialty

Neurology

Education

New York Medical College, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baylor St. Luke'S Medical GroupGroup PAC ID 9133213192, 172 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Luke'S the Woodlands Hospital Hospital, The Woodlands, TX, CCN 450862
• CHI St Lukes Health Memorial Lufkin Hospital, Lufkin, TX, CCN 450211
• CHI St Lukes Lakeside Hospital Hospital, The Woodlands, TX, CCN 670059

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JIHBCA

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.

• Baylor St. Luke'S Medical Group

  • Internal Medicine Physician
  • The Woodlands, TX
  • NPI 1740485879
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Health System of East Texas

  • Rural Acute Care Hospital
  • Lufkin, TX
  • NPI 1396746129
  Care Compare affiliation
• St Luke'S Lakeside Hospital, LLC

  • Special Hospital
  • The Woodlands, TX
  • NPI 1184868879
  Care Compare affiliation
• St. Luke'S Community Health Services

  • General Acute Care Hospital
  • The Woodlands, TX
  • NPI 1942208616
  Care Compare affiliation

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1174770382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17198 ST LUKES WAY STE 600",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848017",
            "telephone_number": "936-266-2450",
            "fax_number": "936-266-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17198 ST LUKES WAY STE 600",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848017",
            "telephone_number": "936-266-2450",
            "fax_number": "936-266-8602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3181 SW Sam Jackson Park Rd",
            "address_2": "Mail Code CR131",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393011",
            "country_code": "US",
            "telephone_number": "503-494-7225",
            "fax_number": "503-494-4690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOZORGCHAMI",
        "first_name": "HORMOZD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "R7675",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD153862",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A105812",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "OR",
            "license": "MD153862",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "TX",
            "license": "R7675",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "R7675",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "R7675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bowon LLC
• Benjamin Allen Box, APRN
• Bronwyn Prescott Boyd, DO
• Sarah Boykin
• Sheryl Boyle, LPC
• Autumn Brabham, PT, DPT
• Yelena Bracchini, MD
• Elissa Ann Bradberry, RD, LD, CEDS
• Elizabeth A Bradshaw, SLP
• Gayle Bradshaw, D.D.S, M.S.

• Neurology Physician in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.

Verify at the official NPI Registry.