NPIMap

Individual provider Active NPI

Wasae Seyed Tabibi, MD

  • Nephrology Physician
  • Houston, TX
National Provider Identifier
1255336012
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
J1576 Issued in TX
Practice address
6560 Fannin St Ste 1730
Houston, TX 77030-2735
Phone
(713) 795-5511
Fax
(713) 795-4627
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X J1576 TX Primary

Addresses

Primary practice location

6560 Fannin St Ste 1730
Houston, TX 77030-2735

Mailing address

6560 Fannin St Ste 1730
Houston, TX 77030-2735
Phone (713) 795-5511

Other practice location 1

1631 North Loop W Ste 640
Houston, TX 77008-1598
Phone (713) 691-0107

Other practice location 2

1250 Creek Way Dr Ste 200
Sugar Land, TX 77478-3399
Phone (281) 265-6564

Other identifiers 3

IdentifierTypeStateIssuer
134403803MedicaidTX
49384OtherAMERIGROUP
81093XOtherBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@kidneyassociates.com

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
I20110615000521 TX Practitioner - NephrologyPractitioner - Internal Medicine 3678656485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Texas Medical School at Houston, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney Associates, PLLCGroup PAC ID 1355331539, 8 clinicians

Practice addresses (Care Compare)

1250 Creek Way Dr
Suite 200
Sugar Land, TX 77478-3399
Phone (281) 265-6564

1631 N Loop W
Suite 640
Houston, TX 77008-1598
Phone (713) 691-0107

6560 Fannin St
Suite 1730
Houston, TX 77030-2735
Phone (713) 795-5511

Hospital & facility affiliations

  • DaVita NorthStar Dialysis Center Dialysis facility, Houston, TX, CCN 452675
  • DaVita Omni Dialysis Center Dialysis facility, Houston, TX, CCN 452667
  • DaVita Binz Home Training Dialysis facility, Houston, TX, CCN 672664
  • DaVita First Colony Dialysis Center Dialysis facility, Sugar Land, TX, CCN 672592
  • DaVita Sugar Land Home Training-PD Dialysis facility, Sugar Land, TX, CCN 672690
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • HCA Houston Healthcare Medical Center Hospital, Houston, TX, CCN 450659
  • Pam Health Rehab Hospital of Houston Heights Inpatient rehabilitation facility, Houston, TX, CCN 673072

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J1576TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Associates, PLLC Nephrology CurrentSince Jan 1, 1999 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

1631 North Loop W
Ste 640
Houston, TX 77008
Phone (713) 691-0107

6560 Fannin St
Ste 1730
Houston, TX 77030
Phone (713) 383-6882

6624 Fannin St
Ste 1400
Houston, TX 77030
Phone (713) 795-5511

1250 Creek Way Dr
Ste 200
Sugar Land, TX 77478
Phone (281) 265-6564

Interoperability endpoints

  • Direct secure messaging: wtabibi33365@directhoustonmethodist.org
  • Direct secure messaging: wtabibi46892@direct.davitaphysiciansolutions.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 12

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1255336012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 1730",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302735",
            "telephone_number": "713-795-5511",
            "fax_number": "713-795-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 1730",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302735",
            "telephone_number": "713-795-5511",
            "fax_number": "713-795-4627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1631 North Loop W Ste 640",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770081598",
            "country_code": "US",
            "telephone_number": "713-691-0107",
            "fax_number": "713-691-0194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 Creek Way Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774783399",
            "country_code": "US",
            "telephone_number": "281-265-6564",
            "fax_number": "281-265-8299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABIBI",
        "first_name": "WASAE",
        "middle_name": "SEYED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "J1576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134403803",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "49384",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "81093X",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@kidneyassociates.com",
            "affiliation": "N",
            "address_1": "6560 Fannin St Ste 1730",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770302735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.