Active NPI
Greater Houston Family Practice LLC
- Family Medicine Physician
- Kingwood, TX
National Provider Identifier
1407676547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maimoona Q Nizami, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2326420 | Greater Houston Family Practice | Certificate of waiver | Jul 1, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Kingwood, TX
- NPI 1487971495
-
- Internal Medicine Physician
- Kingwood, TX
- NPI 1508244179
-
- Family Medicine Physician
- Kingwood, TX
- NPI 1679987853
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
- Hope Alysse Granville I
- Autumn Shay Graves, DO
- Joseph E. Gray, COTA
- Great Generation Assistance Inc
- Great Life Home Care, LLC
- Greater Houston Infectious Disease Associates, PLLC
- Greater Houston Infectious Diseases Center PA
- Greater Houston Physician'S Medical
- Deborah Brasher Greco, LCSW
- Angelique Emiritha Green, LCDC
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.