Individual provider Active NPI

Maimoona Qayyum Nizami

  • Family Medicine Physician
  • Kingwood, TX
National Provider Identifier
1487971495
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
BP1-0037470 Issued in TX
Practice address
21844 Grand Lancelot Dr
Kingwood, TX 77339-7700
Phone
(832) 527-2077
NPI assigned
Apr 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP1-0037470 TX Primary

Addresses

Primary practice location

21844 Grand Lancelot Dr
Kingwood, TX 77339-7700

Mailing address

21844 Grand Lancelot Dr
Kingwood, TX 77339-7700
Phone (832) 527-2077

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
I20140305000536 TX Practitioner - Family Practice 2769612183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

320 Kingwood Executive Dr
Suite B
Kingwood, TX 77339-2769
Phone (346) 330-6856

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP1-0037470TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Noble Healthcare Associates PA CurrentSince Jan 19, 2025 Accepting new patients
Greater Houston Family Practice LLC Family Medicine CurrentSince Oct 24, 2024 Accepting new patients
Ramakrishna V Chava MD PA Family Medicine CurrentSince Feb 1, 2014 Accepting new patients

Locations

710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000

22999 Highway 59 N
Ste 204
Kingwood, TX 77339
Phone (281) 312-6313

310 Kingwood Executive Dr
Ste C
Kingwood, TX 77339
Phone (281) 312-6313

320 Kingwood Executive Dr
Ste B
Kingwood, TX 77339
Phone (346) 330-6856

Interoperability endpoints

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

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 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": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1487971495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21844 GRAND LANCELOT DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773397700",
            "telephone_number": "832-527-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21844 GRAND LANCELOT DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773397700",
            "telephone_number": "832-527-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIZAMI",
        "first_name": "MAIMOONA",
        "middle_name": "QAYYUM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP1-0037470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.