Individual provider Active NPI

Mazen Noureddin, M.D.

  • Gastroenterology Physician
  • Houston, TX
National Provider Identifier
1205087087
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
T6659 Issued in TX
Practice address
1155 Dairy Ashford Road
Ste 200
Houston, TX 77079-3012
Phone
(281) 809-3234
Fax
(281) 809-3287
NPI assigned
Oct 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A101301 CA
Hepatology Physician 207RI0008X T6659 TX
Gastroenterology Physician 207RG0100X T6659 TX Primary

Addresses

Primary practice location

1155 Dairy Ashford Road
Ste 200
Houston, TX 77079-3012

Mailing address

PO Box 58538
Webster, TX 77598-8538
Phone (281) 809-3234

Other practice location 1

4615 Southwest Fwy # 1000
Houston, TX 77027-7108
Phone (281) 809-3234

Other practice location 2

600 N Kobayashi Ste 210
Webster, TX 77598-4841
Phone (281) 809-3234

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
I20220810002710 TX Practitioner - GastroenterologyPractitioner - Internal MedicinePractitioner - Other (Physician) 5496885188 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians

Practice addresses (Care Compare)

1155 Dairy Ashford Rd
Suite 200
Houston, TX 77079-3011
Phone (281) 936-9369

6445 Main St
Suite 2500
Houston, TX 77030-1502
Phone (713) 441-3150

6565 Fannin St
Houston, TX 77030-2703

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101301CAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Methodist Specialty Physicians CurrentSince Jan 1, 2026 Accepting new patients
TMH Physician Associates PLLC Internal Medicine CurrentSince Dec 1, 2022 Accepting new patients
TMH Physician Associates PLLC CurrentSince Dec 1, 2022 Accepting new patients
CLS Health PLLC Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
Houston Methodist Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

6445 Main St
Ste 2200
Houston, TX 77030
Phone (713) 441-9948

6445 Main St
Ste 2500
Houston, TX 77030
Phone (713) 441-3150

1155 Dairy Ashford Rd
Ste 200
Houston, TX 77079
Phone (281) 809-3234

4615 Southwest Fwy
#1000
Houston, TX 77027
Phone (281) 809-3234

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

600 N Kobayashi
Ste 110
Webster, TX 77598
Phone (281) 338-1701

600 N Kobayashi
Ste 210
Webster, TX 77598
Phone (281) 946-6462

500 N Kobayashi
Ste A
Webster, TX 77598
Phone (281) 724-7341

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFFDBA
  • Direct secure messaging: mnoureddin402512@directhoustonmethodist.org

Organizations & group practices 7

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 2

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": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1205087087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58538",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775988538",
            "telephone_number": "281-809-3234",
            "fax_number": "281-809-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 DAIRY ASHFORD ROAD",
            "address_2": "STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770793012",
            "telephone_number": "281-809-3234",
            "fax_number": "281-809-3287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4615 Southwest Fwy # 1000",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770277108",
            "country_code": "US",
            "telephone_number": "281-809-3234",
            "fax_number": "281-809-3287",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 N Kobayashi Ste 210",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984841",
            "country_code": "US",
            "telephone_number": "281-809-3234",
            "fax_number": "281-809-3287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOUREDDIN",
        "first_name": "MAZEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-09",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A101301",
            "primary": false
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "TX",
            "license": "T6659",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "T6659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.