Individual provider Active NPI

Mohammad Haris Pervaiz, MD

  • Pediatrics Physician
  • Katy, TX
National Provider Identifier
1477172021
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
U8569 Issued in TX
Practice address
23900 Katy Fwy
Katy, TX 77494-1323
Phone
(281) 664-7000
Fax
(281) 248-8250
NPI assigned
Apr 14, 2020
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X U8569 TX Primary

Addresses

Primary practice location

23900 Katy Fwy
Katy, TX 77494-1323

Mailing address

23900 Katy Fwy
Katy, TX 77494-1323
Phone (281) 664-7000

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
I20250321000450 TX Practitioner - Pediatric Medicine 3173976271 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Pediatrics CurrentSince Mar 1, 2025 Accepting new patients
Ut Physicians CurrentSince Mar 1, 2025 Accepting new patients
Memorial Hermann Health System Past Accepting new patients

Locations

6410 Fannin St
#135
Houston, TX 77030

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

23900 Katy Fwy
Katy, TX 77494
Phone (281) 644-7000

8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200

17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

Organizations & group practices 3

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": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1477172021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23900 KATY FWY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941323",
            "telephone_number": "281-664-7000",
            "fax_number": "281-248-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23900 KATY FWY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941323",
            "telephone_number": "281-664-7000",
            "fax_number": "281-248-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERVAIZ",
        "first_name": "MOHAMMAD",
        "middle_name": "HARIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-14",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "U8569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.