Organization Active NPI

Motaz Albahra, MD. P.a., PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
National Provider Identifier
1306879705
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
MOTAZ ALBAHRA, MD. P.A., PLLC
Practice address
2525 W Bellfort Ave Ste 194
Houston, TX 77054-5099
Phone
(346) 231-1151
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Authorized official

Name
Dr. Jaryd Stein, MD
Title
President
Phone
(214) 392-4976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

2525 W Bellfort Ave Ste 194
Houston, TX 77054-5099

Mailing address

2525 W Bellfort Ave Ste 194
Houston, TX 77054-5099
Phone (346) 231-1151

Other practice location 1

402 N 5th St
Longview, TX 75601-6529
Phone (903) 758-8511

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060824000276 TX Part B Supplier - Clinic/Group Practice 3678576006 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
Practice locations: Galveston, TX; Houston, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Motaz Albahra MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

301 University Blvd
Bldg 4
Galveston, TX 77555

2525 W Bellfort Ave
Ste 194
Houston, TX 77054
Phone (281) 661-1573

Practitioners & affiliated clinicians

Practitioners 10

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": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1306879705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W BELLFORT AVE STE 194",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770545099",
            "telephone_number": "346-231-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W BELLFORT AVE STE 194",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770545099",
            "telephone_number": "346-231-1151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 N 5th St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756016529",
            "country_code": "US",
            "telephone_number": "903-758-8511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOTAZ ALBAHRA, MD. P.A., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "JARYD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-392-4976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 19, 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.