Individual provider Active NPI

Mohammad Saad Yazdanie, MD

  • Ophthalmology Physician
  • Webster, TX
National Provider Identifier
1467949933
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
T6419 Issued in TX
Practice address
555 E Medical Center Blvd Ste 101
Webster, TX 77598-4367
Phone
(281) 488-7213
Fax
(281) 488-1387
NPI assigned
Apr 19, 2018
Last updated
Aug 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X T6419 TX Primary

Addresses

Primary practice location

555 E Medical Center Blvd Ste 101
Webster, TX 77598-4367

Mailing address

555 E Medical Center Blvd Ste 101
Webster, TX 77598-4367
Phone (281) 488-7213

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
I20220531001101 TX Practitioner - Ophthalmology 6608254925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Eye Associates PLLCGroup PAC ID 2264479112, 15 clinicians

Practice addresses (Care Compare)

11550 Fuqua St
Suite 250
Houston, TX 77034-4200
Phone (281) 488-7213

1913 Steele Rd
Alvin, TX 77511-5526
Phone (281) 558-8453

3333 Bayshore Blvd
Suite 280
Pasadena, TX 77504-1969
Phone (713) 943-8671

555 E Medical Ctr Blvd
Suite 101
Webster, TX 77598-4367
Phone (281) 488-7213

6807 Emmett F Lowry Expy
Suite 102
Texas City, TX 77591-2543
Phone (409) 945-2269

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery297

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gainesville Eye Associates LLC Ophthalmology Current Accepting new patients
Coastal Eye Associates, PLLC Ophthalmology CurrentSince Jun 1, 2022 Accepting new patients
Coastal Eye Associates, PLLC Ophthalmology Current Accepting new patients
Coastal Eye Associates, PLLC Ophthalmology Current Accepting new patients
Coastal Eye Associates PLLC Ophthalmology CurrentSince Jun 1, 2022 Accepting new patients

Locations

500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808

1913 Steele Rd
Alvin, TX 77511
Phone (281) 488-7213

11550 Fuqua St
Ste 250
Houston, TX 77034
Phone (281) 488-7213

3333 Bayshore Blvd
Ste 280
Pasadena, TX 77504
Phone (713) 473-5715

6807 Emmett F Lowry Expy
Ste 102
Texas City, TX 77591
Phone (409) 945-2269

555 E Medical Center Blvd
Ste 101
Webster, TX 77598
Phone (281) 488-7213

Interoperability endpoints

  • Direct secure messaging: myazdanie@esp.intellechartdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1467949933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E MEDICAL CENTER BLVD STE 101",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984367",
            "telephone_number": "281-488-7213",
            "fax_number": "281-488-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E MEDICAL CENTER BLVD STE 101",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984367",
            "telephone_number": "281-488-7213",
            "fax_number": "281-488-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAZDANIE",
        "first_name": "MOHAMMAD",
        "middle_name": "SAAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-19",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "T6419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.