Individual provider Active NPI

Moazzam Mohammad Sana, D.O.

  • Internal Medicine Physician
  • Beaumont, TX
National Provider Identifier
1326207341
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N9124 Issued in TX
Practice address
950 N 14TH St Ste 100
Beaumont, TX 77702-1112
Phone
(409) 833-5858
NPI assigned
Jun 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N9124 TX Primary
Gastroenterology Physician 207RG0100X N9124 TX
Hospitalist Physician 208M00000X N9124 TX

Addresses

Primary practice location

950 N 14TH St Ste 100
Beaumont, TX 77702-1112

Mailing address

950 N 14TH St Ste 100
Beaumont, TX 77702-1112
Phone (409) 833-5858

Other identifiers 1

IdentifierTypeStateIssuer
BP1-0031379MedicaidTX

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
I20140923002567 TX Practitioner - Gastroenterology 3870712896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4100 S Shepherd Dr
Houston, TX 77098-5316
Phone (713) 795-4444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
66.51
Promoting interoperability
98
Improvement activities
40
Cost
71.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy48
Upper gastrointestinal (GI) endoscopy for acid reflux67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N9124TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC Gastroenterology CurrentSince Jun 10, 2018 Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology Current Accepting new patients
Texas Digestive Disease Consultants PLLC Gastroenterology CurrentSince Jun 10, 2018 Accepting new patients

Locations

950 N 14th St
Ste 100
Beaumont, TX 77702
Phone (409) 833-5555

18220 Tomball Pkwy
Ste 290
Houston, TX 77070
Phone (281) 807-6800

4100 S Shepherd Dr
Houston, TX 77098
Phone (713) 524-9800

2840 Commercial Center Blvd
Ste 104
Katy, TX 77494
Phone (513) 505-9644

601 S Main St
Keller, TX 76248
Phone (817) 741-4347

1111 Highway 6
Ste 105
Sugar Land, TX 77478
Phone (281) 491-9779

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1326207341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N 14TH ST STE 100",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021112",
            "telephone_number": "409-833-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N 14TH ST STE 100",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021112",
            "telephone_number": "409-833-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANA",
        "first_name": "MOAZZAM",
        "middle_name": "MOHAMMAD",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-04",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N9124",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "N9124",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "N9124",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BP1-0031379",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.