Mohamed O Jeroudi MD PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

J1701 Issued in TX

Legal business name

MOHAMED O JEROUDI MD PA

Practice address

5060 Crenshaw Road
Suite # 200
Pasadena, TX 77505-3047

Phone

(832) 230-3379

Fax

(832) 230-3724

NPI assigned

Jan 30, 2007

Last updated

Jun 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mohamed O Jeroudi, MDNPI 1881672103

Title

President

Phone

(832) 230-3379

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DBBFBA

Practitioners 3

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.

• Mohamed O Jeroudi, MD

  • Cardiovascular Disease Physician
  • Pasadena, TX
  • NPI 1881672103
  Medicare reassignment Care Compare group Authorized official
• Ahmad Mohamed Jeroudi, MD

  • Cardiovascular Disease Physician
  • Pasadena, TX
  • NPI 1649456336
  Medicare reassignment Care Compare group
• Omar Mohamed Jeroudi, MD

  • Cardiovascular Disease Physician
  • Webster, TX
  • NPI 1982047676
  Medicare reassignment

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1417094665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 CRENSHAW RD",
            "address_2": "SUITE # 200",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053047",
            "telephone_number": "832-230-3379",
            "fax_number": "832-230-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 CRENSHAW ROAD",
            "address_2": "SUITE # 200",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053047",
            "telephone_number": "832-230-3379",
            "fax_number": "832-230-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMED O JEROUDI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "JEROUDI",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-230-3379",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "J1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Enrique Molano-Manrique, M.D.
• Kathy Starr Molinaro, M.A., L.P.C.
• Alina Murad Momin, NP
• Mustak Mansur Momin, M.D.
• Clara Ruth Monroe, LPC

• Cardiovascular Disease Physician in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.