Individual provider Active NPI

Bashir Faris Al Kaddoumi, M.B, B.S, M.D.

  • Interventional Cardiology Physician
  • Houston, TX
National Provider Identifier
1194996702
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
P1959 Issued in TX
Practice address
18220 State Highway 249
Suite 205
Houston, TX 77070-4347
Phone
(832) 241-2001
Fax
(281) 547-7464
NPI assigned
Mar 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology Physician 207UN0901X P1959 TX
Cardiovascular Disease Physician 207RC0000X 4301099922 MI
Cardiovascular Disease Physician 207RC0000X P1959 TX
Interventional Cardiology Physician 207RI0011X P1959 TX Primary

Addresses

Primary practice location

18220 State Highway 249
Suite 205
Houston, TX 77070-4347

Mailing address

PO Box 733490
Dallas, TX 75373-3490
Phone (832) 241-2001

Other practice location 1

21216 Northwest Fwy Ste 290
Cypress, TX 77429-4728
Phone (832) 241-2001

Other practice location 2

14015 Park Dr Ste 101
Tomball, TX 77377-6291
Phone (832) 241-2001

Other identifiers 1

IdentifierTypeStateIssuer
P1959OtherTXTEXAS PHYSICIAN PERMIT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bashir.alkaddoumi@shhvcp.eclinicaldirectplus.com Direct

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
I20141008001187 TX Practitioner - Cardiovascular Disease (Cardiology) 9638309842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18220 State Hwy 249
Suite 205
Houston, TX 77070-4347
Phone (832) 241-2001

Hospital & facility affiliations

  • Houston Methodist Willowbrook Hospital Hospital, Houston, TX, CCN 450844
  • Houston Methodist Cypress Hospital Hospital, Cypress, TX, CCN 670342
  • HCA Houston Healthcare Tomball Hospital, Tomball, TX, CCN 450670

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting24
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P1959TXMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sam Houston Heart and Vascular Center PLLC Interventional Cardiology CurrentSince Jan 1, 2017 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

18220 State Highway 249
#205
Houston, TX 77070

18220 Tomball Pkwy
Ste 205
Houston, TX 77070
Phone (281) 429-8780

6910 FM 1488 Rd
Ste 9
Magnolia, TX 77354
Phone (832) 241-2001

14015 Park Dr
Ste 101
Tomball, TX 77377
Phone (832) 241-2001

Interoperability endpoints

  • Direct secure messaging: balkaddoumi97947@directhoustonmethodist.org
  • Direct secure messaging: balkaddoumi65222@memorialhermann.direct-ci.com

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": "1206230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1194996702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733490",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733490",
            "telephone_number": "832-241-2001",
            "fax_number": "281-547-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18220 STATE HIGHWAY 249",
            "address_2": "SUITE 205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704347",
            "telephone_number": "832-241-2001",
            "fax_number": "281-547-7464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21216 Northwest Fwy Ste 290",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774294728",
            "country_code": "US",
            "telephone_number": "832-241-2001",
            "fax_number": "281-547-7464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14015 Park Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Tomball",
            "state": "TX",
            "postal_code": "773776291",
            "country_code": "US",
            "telephone_number": "832-241-2001",
            "fax_number": "281-547-7464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL KADDOUMI",
        "first_name": "BASHIR",
        "middle_name": "FARIS",
        "name_prefix": "Dr.",
        "credential": "M.B, B.S, M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-23",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "TX",
            "license": "P1959",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301099922",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "P1959",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "P1959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS PHYSICIAN PERMIT",
            "identifier": "P1959",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bashir.alkaddoumi@shhvcp.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD AND PDF",
            "address_1": "18220 State Highway 249",
            "address_2": "Suite 205",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770704347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.