Active NPI
Augustus T Fahnbulleh Sr., M.D.
- Specialist
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 9601 Katy Fwy Ste 260
Houston, TX 77024-1349 - Phone
- (713) 979-0251
- NPI assigned
- Dec 14, 2006
- Last updated
- Feb 25, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
9601 Katy Fwy Ste 260
Houston, TX 77024-1349
Mailing address
PO Box 941478
Houston, TX 77094-8478
Phone (713) 979-0251
Other practice location 1
7333 North Fwy Ste 311
Houston, TX 77076-1320
Phone (713) 979-0251
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 169653601 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9601 Katy Fwy
Suite 260
Houston, TX 77024-1349
Phone (713) 979-0251
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KND Development 59 LLC | Current | Accepting new patients | |
| KND Development 59 LLC | Current | Accepting new patients | |
| KND Development 59, LLC | Current | Accepting new patients | |
| Ronald F Asper | Past | Accepting new patients | |
| Metro Id Associates LTD LLP | Specialist | Past | Accepting new patients |
Locations
6441 Main St
Houston, TX 77030
Phone (713) 790-0500
1550 First Colony Blvd
Sugar Land, TX 77479
Phone (281) 275-6000
350 Blossom St
Webster, TX 77598
Phone (281) 316-7800
Interoperability endpoints
- afahnbulleh468675@direct.stlukeshealth.org
- agustus.fahnbulleh.1@13131.direct.athenahealth.com
Organizations & group practices 6
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.
-
dba Houston Community ID Assoc.
- Specialist
- Houston, TX
- NPI 1477693711
-
- Hospitalist Physician
- Arlington, TX
- NPI 1821327321
-
- Hospitalist Physician
- Tomball, TX
- NPI 1154619658
-
dba Specialty Hospitals Broken Arrow
- Hospitalist Physician
- Broken Arrow, OK
- NPI 1922950823
-
- Specialist
- Houston, TX
- NPI 1548363690
-
- Infectious Disease Physician
- Philadelphia, PA
- NPI 1083771513
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1639992514
-
dba Houston Methodist Hospital
- General Acute Care Hospital
- Houston, TX
- NPI 1548387418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771977600000",
"number": "1457413775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 941478",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770948478",
"telephone_number": "713-979-0251",
"fax_number": "713-979-0366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9601 KATY FWY STE 260",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770241349",
"telephone_number": "713-979-0251"
}
],
"practiceLocations": [
{
"address_1": "7333 North Fwy Ste 311",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770761320",
"country_code": "US",
"telephone_number": "713-979-0251",
"fax_number": "713-979-0366",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAHNBULLEH",
"first_name": "AUGUSTUS",
"middle_name": "T",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "169653601",
"state": "TX"
}
],
"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 Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.