Individual provider Active NPI

Aida Bounama, M.D.

  • Ophthalmology Physician
  • Houston, TX
National Provider Identifier
1336405463
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
Q7652 Issued in TX
Practice address
3100 Weslayan St Ste 400
Houston, TX 77027-5752
Phone
(713) 526-1600
Fax
(713) 526-0679
NPI assigned
Apr 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Q7652 TX Primary

Addresses

Primary practice location

3100 Weslayan St Ste 400
Houston, TX 77027-5752

Mailing address

21502 Merchants Way
Katy, TX 77449-2512
Phone (281) 579-6777

Other identifiers 2

IdentifierTypeStateIssuer
358347802OtherTXCSHCN
358347801MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abounama@direct.berkeleyeye.com Berkeley Eye Institute, PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220325000563 NY Practitioner - Ophthalmology 4486945656 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Pennsylvania State University College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilson Ko MD Facs PCGroup PAC ID 1456442789, 8 clinicians

Practice addresses (Care Compare)

128 Mott St
Suite 408
New York, NY 10013-5588
Phone (212) 732-0073

Hospital & facility affiliations

  • Woodhull Medical & Mental Health Center Hospital, Brooklyn, NY, CCN 330396
  • Kings County Hospital Center Hospital, Brooklyn, NY, CCN 330202

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
313630NYMDLactation Consultant (Non-RN)
Q7652TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Square Ophthalmology PC CurrentSince Jan 26, 2023 Accepting new patients
Harooni & Sheindlin MD PC CurrentSince May 15, 2022 Accepting new patients
Wyckoff Professional Medical Services, PC CurrentSince May 13, 2023 Accepting new patients
Wilson Ko, M.D., F.a.C.S., P.C. CurrentSince Mar 20, 2024 Accepting new patients
Clear Lake Eye Center LLP Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
Medalliance Medical Health Services Inc Past Accepting new patients

Locations

586 President St
Ste B
Brooklyn, NY 11215
Phone (718) 438-5600

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

1530 Bedford Ave
Brooklyn, NY 11216
Phone (718) 221-2020

109 4th Ave
Brooklyn, NY 11217
Phone (718) 438-5600

13625 Maple Ave
Ste 202
Flushing, NY 11355
Phone (718) 358-5900

128 Mott St
Ste 408
New York, NY 10013
Phone (212) 732-0073

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: abounama3821174@nychhc.direct-ci.com
  • Direct secure messaging: abounama@advancedeyecare.intellechartdirect.net

Organizations & group practices 7

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": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1336405463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21502 MERCHANTS WAY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492512",
            "telephone_number": "281-579-6777",
            "fax_number": "287-578-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 WESLAYAN ST STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770275752",
            "telephone_number": "713-526-1600",
            "fax_number": "713-526-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUNAMA",
        "first_name": "AIDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "Q7652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "358347802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "358347801",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abounama@direct.berkeleyeye.com",
            "affiliation": "Y",
            "affiliationName": "Berkeley Eye Institute, PLLC",
            "address_1": "3100 Weslayan St Ste 400",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770275752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.