Individual provider Active NPI

Maasoumah Karamimoghadam

  • Acute Care Nurse Practitioner
  • Houston, TX
National Provider Identifier
1427422278
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP128587 Issued in TX
Practice address
13111 East Fwy Ste 303
Houston, TX 77015-5819
Phone
(281) 768-7672
Fax
(713) 330-0794
NPI assigned
Nov 17, 2015
Last updated
Nov 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP128587 TX Primary

Addresses

Primary practice location

13111 East Fwy Ste 303
Houston, TX 77015-5819

Mailing address

13111 East Fwy Ste 303
Houston, TX 77015-5819
Phone (281) 768-7672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation Current Accepting new patients

Locations

38205 Eagle Way
Chicago, IL 60678

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1427422278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13111 EAST FWY STE 303",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770155819",
            "telephone_number": "281-768-7672",
            "fax_number": "713-330-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 EAST FWY STE 303",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770155819",
            "telephone_number": "281-768-7672",
            "fax_number": "713-330-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAMIMOGHADAM",
        "first_name": "MAASOUMAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP128587",
            "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 Nov 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.