Individual provider Active NPI

Maan Moualla, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Houston, TX
National Provider Identifier
1447450754
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
Q3410 Issued in TX
Practice address
12141 Richmond Ave
Houston, TX 77082-2408
Phone
(281) 558-3444
NPI assigned
Jul 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Q3410 TX
Critical Care Medicine (Internal Medicine) Physician 207RC0200X Q3410 TX Primary

Addresses

Primary practice location

12141 Richmond Ave
Houston, TX 77082-2408

Mailing address

12141 Richmond Ave
Houston, TX 77082-2408
Phone (281) 558-3444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151008002131 TX Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 5496841223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Pulmonary Disease
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lone Star Intensivists at Gulf Coast, PLLCGroup PAC ID 9537410972, 49 clinicians

Practice addresses (Care Compare)

4000 Spencer Hwy
Pasadena, TX 77504-1202
Phone (713) 359-2000

Hospital & facility affiliations

  • HCA Houston Healthcare West Hospital, Houston, TX, CCN 450644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Intensivists at Gulf Coast, PLLC Critical Care Medicine CurrentSince Apr 6, 2019 Accepting new patients
Apogee Medical Group Missouri Inc Internal Medicine Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

4000 Spencer Hwy
Pasadena, TX 77504
Phone (713) 359-1000

Organizations & group practices 2

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1447450754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12141 RICHMOND AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822408",
            "telephone_number": "281-558-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12141 RICHMOND AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822408",
            "telephone_number": "281-558-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUALLA",
        "first_name": "MAAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q3410",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "Q3410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.