Individual provider Active NPI

Faiz Mahmooduddin

  • Internal Medicine Physician
  • Spring, TX
National Provider Identifier
1346557279
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P5674 Issued in TX
Practice address
17207 De Chirico Cir
Spring, TX 77379-6269
Phone
(281) 460-9776
NPI assigned
Sep 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 319975 LA
Internal Medicine Physician 207R00000X 2019024436 MO
Internal Medicine Physician 207R00000X E-12419 AR
Internal Medicine Physician 207R00000X ME142168 FL
Internal Medicine Physician 207R00000X P5674 TX Primary

Addresses

Primary practice location

17207 De Chirico Cir
Spring, TX 77379-6269

Mailing address

18652 McKay Dr
Ste 100
Humble, TX 77338-5716
Phone (281) 446-1520

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
I20200414000196 TX Practitioner - Internal Medicine 3274768890 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-12419ARMDInternal Medicine Physician
ME142168FLMDInternal Medicine Physician
319975LAMDInternal Medicine Physician
2019024436MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City Hospital Physician Group Inc Internal Medicine CurrentSince Oct 15, 2025 Accepting new patients
North Houston Surgical Hospital, LLC Past Accepting new patients

Locations

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1346557279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18652 MCKAY DR",
            "address_2": "STE 100",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385716",
            "telephone_number": "281-446-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17207 DE CHIRICO CIR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773796269",
            "telephone_number": "281-460-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOODUDDIN",
        "first_name": "FAIZ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-14",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "319975",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2019024436",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-12419",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME142168",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P5674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.