Individual provider Active NPI

Hasan Mosa Abdullah Mohidat

  • Ophthalmology Physician
  • Houston, TX
National Provider Identifier
1295490720
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
Q3056 Issued in TX
Practice address
4704 Montrose Blvd
Houston, TX 77006-6122
Phone
(713) 333-0151
Fax
(832) 485-5080
NPI assigned
Oct 31, 2021
Last updated
Apr 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Q3056 TX Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X Q3056 TX

Addresses

Primary practice location

4704 Montrose Blvd
Houston, TX 77006-6122

Mailing address

4704 Montrose Blvd
Houston, TX 77006-6122
Phone (713) 333-0151

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220113000940 TX Practitioner - Ophthalmology 4688066111 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pasadena Eye AssociatesGroup PAC ID 5496716953, 4 clinicians
Charles a. Garcia, M.D.,P.a..Group PAC ID 1355339219, 6 clinicians

Practice addresses (Care Compare)

4450 E Sam Houston Pkwy S
Suite E
Pasadena, TX 77505-3950
Phone (713) 473-5714

4704 Montrose Blvd
Houston, TX 77006-6122
Phone (713) 333-0151

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery201

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q3056TXMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pasadena Eye Associates CurrentSince Apr 1, 2023 Accepting new patients
Charles a. Garcia, M.D.,P.a. Ophthalmology CurrentSince Jan 1, 2022 Accepting new patients
Pasadena Eye Associates Ophthalmology CurrentSince Apr 1, 2023 Accepting new patients
Opticas Garcia Inc PastSince Nov 9, 2021 Accepting new patients

Locations

12970 I 10 E
Houston, TX 77015
Phone (713) 453-3521

1315 St Joseph Pkwy
Ste 1205
Houston, TX 77002
Phone (713) 359-3937

1315 St Joseph Pkwy
Ste 1209
Houston, TX 77002
Phone (713) 659-3937

16001 Park Ten Pl
Ste 215
Houston, TX 77084
Phone (713) 929-3555

4704 Montrose Blvd
Houston, TX 77006
Phone (713) 303-5353

4450 E Sam Houston Pkwy S
Ste E
Pasadena, TX 77505
Phone (713) 473-5714

15 Professional Park Dr
Webster, TX 77598
Phone (281) 332-1559

Interoperability endpoints

  • Direct secure messaging: hasan.mohidat.1@13131.direct.athenahealth.com
  • Direct secure messaging: hmohidat@pasadenaeye.updoxdirect.com
  • FHIR API: https://app.meldrx.com/api/fhir/XBTUN9D1

Organizations & group practices 4

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 1

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": "1635638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1295490720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 MONTROSE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770066122",
            "telephone_number": "713-333-0151",
            "fax_number": "832-485-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4704 MONTROSE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770066122",
            "telephone_number": "713-333-0151",
            "fax_number": "832-485-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHIDAT",
        "first_name": "HASAN",
        "middle_name": "MOSA ABDULLAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-31",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "Q3056",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": "Q3056",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.