Ezam Ghodsi, MD

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

H7420 Issued in TX

Practice address

5301 Davis LN BLDG A200
Austin, TX 78749-4062

Phone

(512) 494-4000

Fax

(512) 494-4090

NPI assigned

Apr 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

NeurologyAlso: Pediatric Medicine

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Central Texas Subspecialists for Children PLLCGroup PAC ID 2567762032, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ezam.ghodsi.1@13029.direct.athenahealth.com

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.

• Central Texas Subspecialists for Children PLLC

  dba Child Neurology Consultants of Austin

  • Neurology with Special Qualifications in Child Neurology Physician
  • Austin, TX
  • NPI 1457729733
  Medicare reassignment Care Compare group
• Magella Medical Associates Billing, Inc.

  dba Magella Medical Associates

  • Neonatal-Perinatal Medicine Physician
  • Round Rock, TX
  • NPI 1083631071
  Medicare reassignment NPD

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1275599284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7940 SHOAL CREEK BLVD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577589",
            "telephone_number": "512-494-4000",
            "fax_number": "512-494-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 DAVIS LN BLDG A200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787494062",
            "telephone_number": "512-494-4000",
            "fax_number": "512-494-4090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7940 Shoal Creek Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787577589",
            "country_code": "US",
            "telephone_number": "512-494-4000",
            "fax_number": "512-494-4090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHODSI",
        "first_name": "EZAM",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "TX",
            "license": "H7420",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "TX",
            "license": "H7420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amir David Ghazi, DC
• Raeeda Munir Gheewala, MD
• John Joseph Ghidoni III, MD
• Anita Ghimire
• Claudia Ghio, LPA, LSSP
• Angelica Gholston, NP
• Peggy Ghorbani, L.AC.
• Amrit Ghosh
• Ishita Ghosh, MD
• Navonil Ghosh, M.D.

• Neurology with Special Qualifications in Child Neurology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.