Organization Active NPI

Mohammed Attar MD PA

  • Cardiovascular Disease Physician
  • Houston, TX
National Provider Identifier
1295040038
Registry record updated Oct 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
E5344 Issued in TX
Legal business name
MOHAMMED ATTAR MD PA
Practice address
6550 Fannin St Ste 2123
Houston, TX 77030-2709
Phone
(713) 790-3193
Fax
(713) 796-2558
NPI assigned
Aug 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2012

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

Authorized official

Name
Dr. Mohammed Attar, MDNPI 1780722371
Title
President
Phone
(713) 790-3193

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X E5344 TX Primary

Addresses

Primary practice location

6550 Fannin St Ste 2123
Houston, TX 77030-2709

Mailing address

PO Box 204132
Houston, TX 77216-4132
Phone (713) 790-3193

Other identifiers 2

IdentifierTypeStateIssuer
00CA15OtherTXMEDICARE ID-TYPE
110381403MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121016000033 TX Part B Supplier - Clinic/Group Practice 9133379878 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

131 Circle Way St
Ste A
Lake Jackson, TX 77566
Phone (979) 429-3621

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350172800000",
    "number": "1295040038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 204132",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772164132",
            "telephone_number": "713-790-3193",
            "fax_number": "713-796-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST STE 2123",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302709",
            "telephone_number": "713-790-3193",
            "fax_number": "713-796-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMED ATTAR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2012-10-14",
        "status": "A",
        "authorized_official_last_name": "ATTAR",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-790-3193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "E5344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE",
            "identifier": "00CA15",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110381403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2012; 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.