Organization Active NPI

Ahmad R.Pacha M.D.P.a.

  • Gastroenterology Physician
  • Houston, TX
National Provider Identifier
1427360197
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
AHMAD R.PACHA M.D.P.A.
Practice address
17030 Nanes Dr Ste 207
Houston, TX 77090-2500
Phone
(281) 893-5665
Fax
(281) 893-0431
NPI assigned
Jul 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Ahmad R. Pacha, M.D.NPI 1033170162
Title
P. a.
Phone
(281) 893-5665

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: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

17030 Nanes Dr Ste 207
Houston, TX 77090-2500

Mailing address

17030 Nanes Dr
Suite 207
Houston, TX 77090-2503
Phone (281) 893-5665

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110114000598 TX Part B Supplier - Clinic/Group Practice 2264621671 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

17030 Nanes Dr
Ste 207
Houston, TX 77090
Phone (281) 236-6247

Practitioners & affiliated clinicians

Practitioners 2

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": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1427360197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17030 NANES DR",
            "address_2": "SUITE 207",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902503",
            "telephone_number": "281-893-5665",
            "fax_number": "281-893-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17030 NANES DR STE 207",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902500",
            "telephone_number": "281-893-5665",
            "fax_number": "281-893-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMAD R.PACHA M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "PACHA",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "P. A.",
        "authorized_official_telephone_number": "281-893-5665",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.