Individual provider Active NPI

Bilal M Moukaddem, MD

  • Nephrology Physician
  • Houston, TX
National Provider Identifier
1497771489
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
J8066 Issued in TX
Practice address
8876 Gulf Fwy Ste 215
Houston, TX 77017-6550
Phone
(713) 947-9509
Fax
(713) 947-0609
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X J8066 TX Primary

Addresses

Primary practice location

8876 Gulf Fwy Ste 215
Houston, TX 77017-6550

Mailing address

8876 Gulf Fwy Ste 215
Houston, TX 77017-6550
Phone (713) 947-9509

Other identifiers 2

IdentifierTypeStateIssuer
6585COtherECFMG
116939302MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MP
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
I20240724004080 MP Practitioner - Nephrology 1759405947 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Healthcare Corporation CurrentSince Apr 28, 2024 Accepting new patients
Commonwealth Healthcare Corporation CurrentSince Apr 28, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bmoukaddem26777@directhoustonmethodist.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328227200000",
    "number": "1497771489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8876 GULF FWY STE 215",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770176550",
            "telephone_number": "713-947-9509",
            "fax_number": "713-947-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8876 GULF FWY STE 215",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770176550",
            "telephone_number": "713-947-9509",
            "fax_number": "713-947-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUKADDEM",
        "first_name": "BILAL",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2012-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "J8066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "6585C",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116939302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.