Organization Active NPI

Ruchdi Barakat, M.D., P.a.

Doing business as Humble vascular access center

  • Nephrology Physician
  • Humble, TX
National Provider Identifier
1285877530
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
M6038 Issued in TX
Legal business name
RUCHDI BARAKAT, M.D., P.A.
Doing business as
Humble vascular access center
Practice address
8411 FM 1960 Rd W Ste B
Humble, TX 77338-4135
Phone
(346) 616-5862
NPI assigned
Apr 16, 2009
Last updated
Mar 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Authorized official

Name
Dr. Ruchdi Barakat, M.D.NPI 1265634265
Title
Physician/Owner
Phone
(713) 820-0806

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X M6038 TX Primary

Addresses

Primary practice location

8411 FM 1960 Rd W Ste B
Humble, TX 77338-4135

Mailing address

8411 FM 1960 Bypass Rd W Ste B
Humble, TX 77338-4013
Phone (346) 616-5862

Other names 1

  • Humble vascular access center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EMR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090526000258 TX Part B Supplier - Clinic/Group Practice 0648329532 Receives reassigned benefits from 7 practitioners
Practice locations: Humble, TX

National Provider Directory

National Provider Directory

Locations

8411 FM 1960 Bypass Rd W
Ste B
Humble, TX 77338
Phone (346) 616-5862

8411 FM 1960 Rd W
Ste B
Humble, TX 77338
Phone (346) 616-5862

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1285877530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8411 FM 1960 BYPASS RD W STE B",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384013",
            "telephone_number": "346-616-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8411 FM 1960 RD W STE B",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384135",
            "telephone_number": "346-616-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUCHDI BARAKAT, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "BARAKAT",
        "authorized_official_first_name": "RUCHDI",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "713-820-0806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "M6038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "address_1": "8411 Fm 1960 Rd W Ste B",
            "city": "Humble",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773384135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Humble vascular access center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Humble vascular access center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.