Organization Active NPI

Nizar Charafeddine, MD, PA

  • Gastroenterology Physician
  • Pearland, TX
National Provider Identifier
1306095690
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
NIZAR CHARAFEDDINE, MD, PA
Practice address
8633 Broadway St Ste 103
Pearland, TX 77584-8497
Phone
(713) 436-8166
Fax
(713) 436-8168
NPI assigned
Sep 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Dr. Nizar Charafeddine, M.D.NPI 1912090317
Title
President
Phone
(713) 436-8166

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
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

8633 Broadway St Ste 103
Pearland, TX 77584-8497

Mailing address

PO Box 841528
Pearland, TX 77584-0075
Phone (713) 436-8166

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081020000246 TX Part B Supplier - Clinic/Group Practice 7416015474 Receives reassigned benefits from 1 practitioner
Practice locations: Angleton, TX; Pearland, TX

National Provider Directory

National Provider Directory

Locations

24044 Highway 59 N
Kingwood, TX 77339
Phone (281) 501-5652

8633 Broadway St
Ste 103
Pearland, TX 77584
Phone (713) 436-8166

305 N McKinney St
Ste H
Sweeny, TX 77480
Phone (979) 549-9755

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": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1306095690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841528",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775840075",
            "telephone_number": "713-436-8166",
            "fax_number": "713-436-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8633 BROADWAY ST STE 103",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848497",
            "telephone_number": "713-436-8166",
            "fax_number": "713-436-8168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIZAR CHARAFEDDINE, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "CHARAFEDDINE",
        "authorized_official_first_name": "NIZAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-436-8166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.