NPIMap

Individual provider Active NPI

Taher Mustafa Mandviwala, M.D.

  • Interventional Cardiology Physician
  • Tomball, TX
National Provider Identifier
1316327679
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
R3377 Issued in TX
Practice address
13406 Medical Complex Dr Ste 110
Tomball, TX 77375-3330
Phone
(281) 351-6250
Fax
(281) 351-7841
NPI assigned
Jun 2, 2015
Last updated
Apr 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X R3377 TX Primary
Interventional Cardiology Physician 207RI0011X MD-26544 HI

Addresses

Primary practice location

13406 Medical Complex Dr Ste 110
Tomball, TX 77375-3330

Mailing address

13406 Medical Complex Dr Ste 110
Tomball, TX 77375-3330
Phone (281) 351-6250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, HI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200728001356 TX Practitioner - Internal Medicine 4486078136 Reassigns benefits to 1 organization
I20260511001714 HI Practitioner - Interventional Cardiology 4486078136 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Baylor College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hilo Benioff Medical CenterGroup PAC ID 1254422900, 131 clinicians
Kau HospitalGroup PAC ID 7416945548, 138 clinicians
Mustafa Mandviwala, MD, PAGroup PAC ID 2062405087, 2 clinicians

Practice addresses (Care Compare)

1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 932-3000

13406 Medical Complex Dr
Suite 110
Tomball, TX 77375-3330
Phone (281) 351-6250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting11
Pacemaker insertion or repair11
Varicose vein removal26
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-26544HIMDInterventional Cardiology Physician
R3377TXMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mustafa Mandviwala, MD, PA Single Specialty CurrentSince Jul 1, 2022 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

13406 Medical Complex Dr
Ste 110
Tomball, TX 77375
Phone (281) 351-6250

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEEIAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EEEIAA/Endpoint/EEEIAA
  • Direct secure messaging: taher.mandviwala@387891020693508.direct.elationemr.com
  • Direct secure messaging: taher.mandviwala@nwhc.eclinicaldirectplus.com
  • Direct secure messaging: tmandviwala397471@direct.houstonmethodist.org

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 4

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": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1316327679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13406 MEDICAL COMPLEX DR STE 110",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753330",
            "telephone_number": "281-351-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13406 MEDICAL COMPLEX DR STE 110",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753330",
            "telephone_number": "281-351-6250",
            "fax_number": "281-351-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDVIWALA",
        "first_name": "TAHER",
        "middle_name": "MUSTAFA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-02",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "R3377",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "HI",
            "license": "MD-26544",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.