Organization Active NPI

Arif Abdullah MD PA

  • Cardiovascular Disease Physician
  • Conroe, TX
National Provider Identifier
1477631406
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ARIF ABDULLAH MD PA
Practice address
601 River Pointe Dr Ste 105
Conroe, TX 77304-2943
Phone
(936) 539-5577
Fax
(936) 539-5550
NPI assigned
Nov 1, 2006
Last updated
May 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Authorized official

Name
Arif Bin Abdullah, MDNPI 1801803069
Title
Owner
Phone
(936) 539-5577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

601 River Pointe Dr Ste 105
Conroe, TX 77304-2943

Mailing address

601 River Pointe Dr Ste 105
Conroe, TX 77304-2943
Phone (936) 539-5577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070622000386 TX Part B Supplier - Clinic/Group Practice 8426157041 Receives reassigned benefits from 4 practitioners
Practice locations: Conroe, TX; Huntsville, TX

National Provider Directory

National Provider Directory

Locations

500 Medical Center Blvd
Ste 218
Conroe, TX 77304
Phone (936) 441-5550

601 River Pointe Dr
Ste 105
Conroe, TX 77304
Phone (936) 441-5550

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1477631406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 RIVER POINTE DR STE 105",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042943",
            "telephone_number": "936-539-5577",
            "fax_number": "936-539-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 RIVER POINTE DR STE 105",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042943",
            "telephone_number": "936-539-5577",
            "fax_number": "936-539-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIF ABDULLAH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "ABDULLAH",
        "authorized_official_first_name": "ARIF",
        "authorized_official_middle_name": "BIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-539-5577",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.