Individual provider Active NPI

Fakhri Kalolwala, M.D.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1396088134
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R2641 Issued in TX
Practice address
16125 Cairnway Dr Ste 114
Houston, TX 77084-3556
Phone
(832) 786-8195
NPI assigned
Mar 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R2641 TX Primary

Addresses

Primary practice location

16125 Cairnway Dr Ste 114
Houston, TX 77084-3556

Mailing address

16125 Cairnway Dr Ste 114
Houston, TX 77084-3556
Phone (832) 786-8195

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
I20171220002246 TX Practitioner - Internal Medicine 4587950258 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16125 Cairnway Dr
Suite 114
Houston, TX 77084-3556
Phone (832) 786-8195

Hospital & facility affiliations

  • Houston Methodist West Hospital Hospital, Houston, TX, CCN 670077
  • Encompass Health Rehabilitation Hospital of Katy Inpatient rehabilitation facility, Katy, TX, CCN 673071

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mufaddal Medical Consulting PLLC Internal Medicine CurrentSince May 1, 2019 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Dec 1, 2017 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Apr 20, 2019 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

16125 Cairnway Dr
Ste 114
Houston, TX 77084
Phone (281) 392-1130

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

Interoperability endpoints

  • Direct secure messaging: fkalolwala161857@direct.houstonmethodist.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/HGDACD/Endpoint/HGDACD
  • Direct secure messaging: fakhri.kalolwala@mumc.eclinicaldirectplus.com

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 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": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1396088134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16125 CAIRNWAY DR STE 114",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770843556",
            "telephone_number": "832-786-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16125 CAIRNWAY DR STE 114",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770843556",
            "telephone_number": "832-786-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALOLWALA",
        "first_name": "FAKHRI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-29",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R2641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.