NPIMap

Individual provider Active NPI

Agadadash Kuliev, MD

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1215912365
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M2373 Issued in TX
Practice address
1140 Business Center Dr
Suite 203
Houston, TX 77043
Phone
(713) 463-5527
Fax
(713) 463-3784
NPI assigned
Dec 13, 2005
Last updated
Feb 26, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M2373 TX Primary

Addresses

Primary practice location

1140 Business Center Dr
Suite 203
Houston, TX 77043

Mailing address

1140 Business Center Dr.
Suite 203
Houston, TX 77043-2741
Phone (713) 463-5527

Other identifiers 1

IdentifierTypeStateIssuer
179501501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060111001075 TX Practitioner - Internal Medicine 9739102112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1140 Business Ctr Dr
Suite 203
Houston, TX 77043-2741
Phone (713) 463-5527

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Town and Country Internal Medicine, P.a. Internal Medicine CurrentSince Jun 1, 2006 Accepting new patients
First Family Clinic, Inc. Past Accepting new patients
Clinic Service Providers, PA PastSince Jun 25, 2012 Accepting new patients

Locations

1140 Business Center Dr
Ste 203
Houston, TX 77043
Phone (713) 461-9194

Interoperability endpoints

  • Direct secure messaging: agadadash.kuliev@tcim.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFHBCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFHBCA/Endpoint/AFHBCA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1215912365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 BUSINESS CENTER DR.",
            "address_2": "SUITE 203",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770432741",
            "telephone_number": "713-463-5527",
            "fax_number": "713-463-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 BUSINESS CENTER DR",
            "address_2": "SUITE 203",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77043",
            "telephone_number": "713-463-5527",
            "fax_number": "713-463-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULIEV",
        "first_name": "AGADADASH",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M2373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179501501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.