Individual provider Active NPI

Ashiqueali I Poonawala, M.D.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1467434563
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K3399 Issued in TX
Practice address
13311 Hargrave Rd Ste 103
Houston, TX 77070-4310
Phone
(281) 890-6800
Fax
(281) 890-6865
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K3399 TX Primary

Addresses

Primary practice location

13311 Hargrave Rd Ste 103
Houston, TX 77070-4310

Mailing address

PO Box 73105
Houston, TX 77273-3105
Phone (281) 890-6800

Other identifiers 1

IdentifierTypeStateIssuer
043996001MedicaidTX

Other names 1

  • Ashiqueali I Poonawala Other name

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
I20100317001002 TX Practitioner - Internal Medicine 7416033667 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Internal Medicine Specialists PLLCGroup PAC ID 0244316495, 3 clinicians

Practice addresses (Care Compare)

13311 Hargrave Rd
Suite 103
Houston, TX 77070-4310
Phone (281) 890-6800

Hospital & facility affiliations

  • Houston Methodist Willowbrook Hospital Hospital, Houston, TX, CCN 450844
  • HCA Houston Healthcare Northwest Hospital, Houston, TX, CCN 450638

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Urgent Care Internal Medicine CurrentSince Jun 14, 2010 Accepting new patients
Premier Clinic PLLC Internal Medicine Current Accepting new patients
Northwest Internal Medicine Specialists PLLC Internal Medicine CurrentSince Jul 1, 1997 Accepting new patients
Methodist Health Centers Past Accepting new patients

Locations

13325 Hargrave Rd
Ste 180
Houston, TX 77070
Phone (281) 890-6800

13311 Hargrave Rd
Ste 103
Houston, TX 77070
Phone (281) 586-7273

13311 Hargrave Rd
Ste 104
Houston, TX 77070
Phone (281) 890-6800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHEADA

Organizations & group practices 4

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 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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1467434563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772733105",
            "telephone_number": "281-890-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13311 HARGRAVE RD STE 103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704310",
            "telephone_number": "281-890-6800",
            "fax_number": "281-890-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POONAWALA",
        "first_name": "ASHIQUEALI",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K3399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043996001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHIQUEALI",
            "last_name": "POONAWALA",
            "middle_name": "I",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.