Organization Active NPI

Premier Internal Medicine Associates of Houston PLLC

  • Internal Medicine Physician
  • Katy, TX
National Provider Identifier
1407306947
Registry record updated Jul 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P4536 Issued in TX
Legal business name
PREMIER INTERNAL MEDICINE ASSOCIATES OF HOUSTON PLLC
Practice address
1331 W Grand Pkwy N Ste 345
Katy, TX 77493-2736
Phone
(281) 398-8044
Fax
(281) 574-3972
NPI assigned
Oct 7, 2016
Last updated
Jul 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2022

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

Authorized official

Name
Dr. Nadia Abbasi, MDNPI 1184825689
Title
Ceo
Phone
(281) 398-8044

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
Internal Medicine Physician 207R00000X P4536 TX Primary

Addresses

Primary practice location

1331 W Grand Pkwy N Ste 345
Katy, TX 77493-2736

Mailing address

1331 W Grand Pkwy North
Suite 345
Katy, TX 77493-5079
Phone (281) 398-8044

Other identifiers 1

IdentifierTypeStateIssuer
P4536OtherTXSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nadia.abbasi@sipl.elinicaldirectplus.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161220000712 TX Part B Supplier - Clinic/Group Practice 8820379472 Receives reassigned benefits from 3 practitioners
Practice locations: Katy, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0937699Premier Internal Medicine Associates of Houston1331 West Grand Parkway North, Suite 350, Katy, TX 77493Certificate of waiverDec 21, 2027

National Provider Directory

National Provider Directory

Locations

1331 W Grand Pkwy N
Ste 345
Katy, TX 77493
Phone (281) 398-8044

1455 Highway 6
Ste B
Sugar Land, TX 77478
Phone (832) 701-3088

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656892800000",
    "number": "1407306947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 W GRAND PKWY NORTH",
            "address_2": "SUITE 345",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774935079",
            "telephone_number": "281-398-8044",
            "fax_number": "281-574-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W GRAND PKWY N STE 345",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932736",
            "telephone_number": "281-398-8044",
            "fax_number": "281-574-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER INTERNAL MEDICINE ASSOCIATES OF HOUSTON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2022-07-04",
        "certification_date": "2022-07-04",
        "status": "A",
        "authorized_official_last_name": "ABBASI",
        "authorized_official_first_name": "NADIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-398-8044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P4536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "P4536",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nadia.abbasi@sipl.elinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1331 W Grand Pkwy N Ste 345",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774932736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.