Individual provider Active NPI

Yazan Jaafar Alderazi, M.D.

  • Vascular Neurology Physician
  • Webster, TX
National Provider Identifier
1316113251
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
Q8817 Issued in TX
Practice address
450 W Medical Center Blvd Ste 510
Webster, TX 77598-4233
Phone
(281) 316-0046
Fax
(281) 316-0073
NPI assigned
Apr 30, 2008
Last updated
Jan 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X Q8817 TX
Vascular Neurology Physician 2084V0102X Q8817 TX Primary
Neuroradiology Physician 2085N0700X Q8817 TX
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician 2084D0003X Q8817 TX
Neurocritical Care Physician 2084A2900X Q8817 TX

Addresses

Primary practice location

450 W Medical Center Blvd Ste 510
Webster, TX 77598-4233

Mailing address

450 W Medical Center Blvd Ste 510
Webster, TX 77598-4233
Phone (281) 316-0046

Other practice location 1

6410 Fannin St Ste 1014
Houston, TX 77030-5301
Phone (832) 325-7088

Other practice location 2

9180 Pinecroft Dr Ste 500
Shenandoah, TX 77380
Phone (832) 325-7088

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
I20150810000230 TX Practitioner - Neurology 3870807530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neuro-Hospitalist of Clear Lake, PLLCGroup PAC ID 8527243682, 20 clinicians

Practice addresses (Care Compare)

450 W Medical Ctr Blvd
Suite 510
Webster, TX 77598-4233
Phone (281) 316-0046

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q8817TXMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro-Hospitalist of Clear Lake, PLLC Neurology CurrentSince Jan 1, 2022 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

450 W Medical Center Blvd
Ste 510
Webster, TX 77598
Phone (281) 316-0046

450 W Medical Center Blvd
Ste 600
Webster, TX 77598
Phone (281) 338-3270

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

500 W Medical Center Blvd
#C
Webster, TX 77598

Interoperability endpoints

  • Direct secure messaging: yalderazi37139@direct.uth.org
  • Direct secure messaging: yazan.alderazi@hca9.eclinicaldirectplus.com

Organizations & group practices 1

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": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1316113251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W MEDICAL CENTER BLVD STE 510",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984233",
            "telephone_number": "281-316-0046",
            "fax_number": "281-316-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W MEDICAL CENTER BLVD STE 510",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984233",
            "telephone_number": "281-316-0046",
            "fax_number": "281-316-0073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6410 Fannin St Ste 1014",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770305301",
            "country_code": "US",
            "telephone_number": "832-325-7088",
            "fax_number": "713-512-2239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9180 Pinecroft Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "77380",
            "country_code": "US",
            "telephone_number": "832-325-7088",
            "fax_number": "713-512-2239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALDERAZI",
        "first_name": "YAZAN",
        "middle_name": "JAAFAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-30",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "Q8817",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "TX",
            "license": "Q8817",
            "primary": true
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TX",
            "license": "Q8817",
            "primary": false
        },
        {
            "code": "2084D0003X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
            "state": "TX",
            "license": "Q8817",
            "primary": false
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "TX",
            "license": "Q8817",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.