Organization Active NPI

Gastroenterology Specialists of North Houston, PLLC

  • Gastroenterology Physician
  • The Woodlands, TX
National Provider Identifier
1407300643
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GASTROENTEROLOGY SPECIALISTS OF NORTH HOUSTON, PLLC
Practice address
17521 St Lukes Way
Suite 190
The Woodlands, TX 77384-8039
Phone
(936) 321-0000
NPI assigned
Aug 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Tawfiq G Alam, MDNPI 1629092689
Title
Owner
Phone
(936) 321-0000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

17521 St Lukes Way
Suite 190
The Woodlands, TX 77384-8039

Mailing address

17521 St Lukes Way Ste 190
The Woodlands, TX 77384-8040
Phone (936) 321-0000

Other practice location 1

150 Pine Forest Dr Ste 106
The Woodlands, TX 77384-5302
Phone (936) 321-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161017002461 TX Part B Supplier - Clinic/Group Practice 0446548952 Receives reassigned benefits from 1 practitioner
Practice locations: The Woodlands, TX

National Provider Directory

National Provider Directory

Locations

150 Pine Forest Dr
Ste 106
The Woodlands, TX 77384
Phone (936) 321-0000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1407300643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17521 ST LUKES WAY STE 190",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848040",
            "telephone_number": "936-321-0000",
            "fax_number": "844-202-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17521 ST LUKES WAY",
            "address_2": "SUITE 190",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848039",
            "telephone_number": "936-321-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Pine Forest Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773845302",
            "country_code": "US",
            "telephone_number": "936-321-0000",
            "fax_number": "844-202-3967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GASTROENTEROLOGY SPECIALISTS OF NORTH HOUSTON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "ALAM",
        "authorized_official_first_name": "TAWFIQ",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-321-0000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.