Individual provider Active NPI

Augustus T Fahnbulleh Sr., M.D.

  • Specialist
  • Houston, TX
National Provider Identifier
1457413775
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
9601 Katy Fwy Ste 260
Houston, TX 77024-1349
Phone
(713) 979-0251
NPI assigned
Dec 14, 2006
Last updated
Feb 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
169653601MedicaidTX

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
I20040629000735 TX Practitioner - Infectious DiseasePractitioner - Internal Medicine 8729064449 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
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

OrganizationSpecialtyStatusNew patients
KND Development 59 LLC CurrentSince Nov 1, 2016 Accepting new patients
KND Development 59 LLC Current Accepting new patients
KND Development 59, LLC CurrentSince Nov 1, 2016 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

  • Direct secure messaging: afahnbulleh468675@direct.stlukeshealth.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.