Individual provider Active NPI

Mohammad F. Azim, MD

  • Pediatrics Physician
  • Webster, TX
National Provider Identifier
1396739405
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
J3398 Issued in TX
Practice address
17448 Highway 3 FL 2
Webster, TX 77598-4197
Phone
(832) 505-1748
Fax
(832) 905-6948
NPI assigned
Sep 2, 2005
Last updated
Oct 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X J3398 TX Primary

Addresses

Primary practice location

17448 Highway 3 FL 2
Webster, TX 77598-4197

Mailing address

17448 Highway 3
Ste 200
Webster, TX 77598-4140
Phone (281) 604-1300

Other identifiers 4

IdentifierTypeStateIssuer
8F6720OtherTXBCBS
7492012OtherTXAETNA
045236902MedicaidTX
87574ZOtherTXHMO BLUE

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
I20100513000841 TX Practitioner - Pediatric Medicine 7416085394 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice Pediatrics CurrentSince Aug 30, 2018 Accepting new patients
University of Texas Medical Branch at Galveston PastSince Aug 30, 2018 Accepting new patients

Locations

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

17448 Highway 3
Ste 200
Webster, TX 77598
Phone (832) 505-1748

250 Blossom St
Ste 100
Webster, TX 77598
Phone (281) 724-0190

250 Blossom St
Ste 300
Webster, TX 77598

Interoperability endpoints

  • Direct secure messaging: mazim27002@direct.utmb.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1396739405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17448 HIGHWAY 3",
            "address_2": "STE 200",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984140",
            "telephone_number": "281-604-1300",
            "fax_number": "281-724-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17448 HIGHWAY 3 FL 2",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984197",
            "telephone_number": "832-505-1748",
            "fax_number": "832-905-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIM",
        "first_name": "MOHAMMAD",
        "middle_name": "F.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J3398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8F6720",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7492012",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045236902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO BLUE",
            "identifier": "87574Z",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.