Individual provider Active NPI

Lailee Madani

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1447800628
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2615 Southwest Fwy Ste 290
Houston, TX 77098-4611
Phone
(713) 523-8800
NPI assigned
Sep 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X TX Primary

Addresses

Primary practice location

2615 Southwest Fwy Ste 290
Houston, TX 77098-4611

Mailing address

14103 Sherburn Manor Dr
Cypress, TX 77429-8172
Phone (832) 515-3941

Other practice location 1

12121 Richmond Ave Ste 304
Houston, TX 77082-2437
Phone (281) 920-5558

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1447800628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14103 SHERBURN MANOR DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774298172",
            "telephone_number": "832-515-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 SOUTHWEST FWY STE 290",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770984611",
            "telephone_number": "713-523-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12121 Richmond Ave Ste 304",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770822437",
            "country_code": "US",
            "telephone_number": "281-920-5558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADANI",
        "first_name": "LAILEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "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 Sep 19, 2019; 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.