Organization Active NPI

Greater Houston Family Practice LLC

  • Family Medicine Physician
  • Kingwood, TX
National Provider Identifier
1407676547
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GREATER HOUSTON FAMILY PRACTICE LLC
Practice address
320 Kingwood Executive Dr Ste B
Kingwood, TX 77339-2769
Phone
(346) 330-6856
NPI assigned
Oct 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Maimoona Q Nizami, MDNPI 1487971495
Title
Owner
Phone
(463) 306-8563

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

320 Kingwood Executive Dr Ste B
Kingwood, TX 77339-2769

Mailing address

PO Box 540088
Houston, TX 77254-0088
Phone (713) 950-1190

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250214001957 TX Part B Supplier - Clinic/Group Practice 5991235293 Receives reassigned benefits from 1 practitioner
Practice locations: Kingwood, 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
45D2326420Greater Houston Family Practice320 Kingwood Executive Dr, Kingwood, TX 77339Certificate of waiverJul 1, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1407676547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540088",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772540088",
            "telephone_number": "713-950-1190",
            "fax_number": "713-950-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 KINGWOOD EXECUTIVE DR STE B",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392769",
            "telephone_number": "346-330-6856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER HOUSTON FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "NIZAMI",
        "authorized_official_first_name": "MAIMOONA",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "463-306-8563",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.