Faisal Mahmooduddin, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

515747 Issued in TX

Practice address

12101 Grant Rd
Suite G
Cypress, TX 77429-2761

Phone

(281) 500-8700

Fax

(281) 500-8799

NPI assigned

Dec 16, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Emergency Hospital Systems LLC

  • General Acute Care Hospital
  • Cleveland, TX
  • NPI 1992172019
  Medicare reassignment NPD
• TK Emergency Physicians Group PLLC

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1942728019
  Medicare reassignment NPD
• New Medical Horizons II, LTD.

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1477583334
  NPD (past)

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1346648722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12101 GRANT RD",
            "address_2": "SUITE G",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774292761",
            "telephone_number": "281-500-8700",
            "fax_number": "281-500-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 GRANT RD",
            "address_2": "SUITE G",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774292761",
            "telephone_number": "281-500-8700",
            "fax_number": "281-500-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOODUDDIN",
        "first_name": "FAISAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-16",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "515747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnolia Dermatology
• Magnolia Lane Pediatrics PLLC
• Myranda Leigh Magnuson-Shaw
• Amy Leeann Magrini, M.S. CCC-SLP
• Stephanie Lauren Mahan, DC
• Salma S. Mahmooduddin, M.D.
• Kelly Nhu Mai, O.D.
• Nghi Meghan Mai, PHARM.D.
• Moneel Majid, CCC-SLP
• Mayra Quiroz Maldonado, FNP-C

• Family Medicine Physician in Cypress, TX
• Providers in Cypress, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.