Individual provider Active NPI

Nagwa Sabonghy, MD

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1407193923
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
FO659 Issued in TX
Practice address
923 Ivy Wall Dr
Houston, TX 77079-5067
Phone
(281) 221-5675
Fax
(281) 558-8253
NPI assigned
Jan 4, 2013
Last updated
Jan 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X FO659 TX Primary

Addresses

Primary practice location

923 Ivy Wall Dr
Houston, TX 77079-5067

Mailing address

923 Ivy Wall Dr
Houston, TX 77079-5067
Phone (281) 221-5675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
FO659TXMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1407193923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 IVY WALL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770795067",
            "telephone_number": "281-221-5675",
            "fax_number": "281-558-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 IVY WALL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770795067",
            "telephone_number": "281-221-5675",
            "fax_number": "281-558-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABONGHY",
        "first_name": "NAGWA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-04",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "FO659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.