Individual provider Active NPI

Nicole Azar Ghorayeb, M.D.

  • Anesthesiology Physician
  • Houston, TX
National Provider Identifier
1184761744
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
J7893 Issued in TX
Practice address
2411 Fountain View Dr
Suite 200
Houston, TX 77057-4817
Phone
(713) 458-4185
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X J7893 TX Primary

Addresses

Primary practice location

2411 Fountain View Dr
Suite 200
Houston, TX 77057-4817

Mailing address

2411 Fountain View Dr Ste 200
Houston, TX 77057-4832
Phone (713) 620-4000

Other identifiers 3

IdentifierTypeStateIssuer
050086835OtherTXRAILROAD MEDICARE
8B7328OtherTX-BLUE SHIELD
047922202MedicaidTX

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
I20110608000800 TX Practitioner - Anesthesiology 7214114743 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Anesthesia Providers, PLLCGroup PAC ID 0547529596, 112 clinicians

Practice addresses (Care Compare)

5150 Crenshaw Rd
Suite H100
Pasadena, TX 77505-3095
Phone (713) 773-0556

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J7893TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Anesthesia Providers PLLC Anesthesiology CurrentSince Sep 1, 2022 Accepting new patients
Texans Anesthesia Associates PLLC Anesthesiology CurrentSince Jan 20, 2018 Accepting new patients
Compass Anesthesia Providers PLLC Anesthesiology CurrentSince Sep 12, 2022 Accepting new patients
Aipm of Houston, PLLC Anesthesiology Past Accepting new patients

Locations

4201 Garth Rd
Ste 212
Baytown, TX 77521
Phone (281) 420-9355

4615 Southwest Fwy
Ste 850
Houston, TX 77027
Phone (281) 475-4428

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

9525 Katy Fwy
Ste 206
Houston, TX 77024
Phone (713) 400-2900

1475 FM 1960 Bypass Rd E
Humble, TX 77338
Phone (281) 369-9001

5150 Crenshaw Rd
Ste H100
Pasadena, TX 77505
Phone (281) 525-6106

2743 Smith Ranch Rd
Ste 404
Pearland, TX 77584
Phone (317) 345-5267

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

26710 Interstate 45
Ste B
Spring, TX 77386
Phone (281) 419-1117

1211 Highway 6
Sugar Land, TX 77478
Phone (281) 238-3900

1211 Highway 6
Ste 70
Sugar Land, TX 77478
Phone (281) 238-3902

Interoperability endpoints

  • Direct secure messaging: nicole.azar.1@13131.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.

Hospital & facility affiliations 1

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1184761744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 FOUNTAIN VIEW DR STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770574832",
            "telephone_number": "713-620-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 FOUNTAIN VIEW DR",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770574817",
            "telephone_number": "713-458-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHORAYEB",
        "first_name": "NICOLE",
        "middle_name": "AZAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "J7893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050086835",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX-BLUE SHIELD",
            "identifier": "8B7328",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047922202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.