Organization Active NPI

Saeed Kahkeshani MD PA

  • Specialist
  • Baytown, TX
National Provider Identifier
1497314611
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SAEED KAHKESHANI MD PA
Practice address
1010 W Baker Rd Ste 104
Baytown, TX 77521-2383
Phone
(281) 427-5555
NPI assigned
Jun 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Authorized official

Name
Saeed Kahkeshani, MDNPI 1417006313
Title
Owner
Phone
(281) 427-5555

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary
Pediatric Neurodevelopmental Disabilities PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0008X

Addresses

Primary practice location

1010 W Baker Rd Ste 104
Baytown, TX 77521-2383

Mailing address

1010 W Baker Rd Ste 104
Baytown, TX 77521-2383
Phone (281) 427-5555

Other identifiers 1

IdentifierTypeStateIssuer
13832514OtherTXTDL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190624001983 TX Part B Supplier - Clinic/Group Practice 9931433034 Receives reassigned benefits from 1 practitioner
Practice locations: Baytown, TX

National Provider Directory

National Provider Directory

Locations

1010 W Baker Rd
Baytown, TX 77521
Phone (281) 428-5755

1010 W Baker Rd
Ste 104
Baytown, TX 77521
Phone (281) 427-5555

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1497314611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W BAKER RD STE 104",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212383",
            "telephone_number": "281-427-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W BAKER RD STE 104",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212383",
            "telephone_number": "281-427-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAEED KAHKESHANI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "KAHKESHANI",
        "authorized_official_first_name": "SAEED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-427-5555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TDL",
            "identifier": "13832514",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.