Individual provider Active NPI

Anam Azimuddin Mazharuddin, MD

  • Ophthalmology Physician
  • Spring, TX
National Provider Identifier
1508356858
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
T6963 Issued in TX
Practice address
5211 FM 2920 Rd Ste 102
Spring, TX 77388-3004
Phone
(281) 444-1677
NPI assigned
May 12, 2018
Last updated
Feb 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X T6963 TX Primary

Addresses

Primary practice location

5211 FM 2920 Rd Ste 102
Spring, TX 77388-3004

Mailing address

2855 Gramercy St Ste 400
Houston, TX 77025-1756
Phone (713) 668-6828

Other names 1

  • Dr. Anam Fatima Azimuddin Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anam.mazharuddin@houstoneye.direct.eyemdemr.com Direct

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
I20220713001499 TX Practitioner - Ophthalmology 1456616598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical School at San Antonio, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hea Clinic PAGroup PAC ID 1254227440, 40 clinicians

Practice addresses (Care Compare)

22659 Hwy 59 N
Suite 100
Kingwood, TX 77339-4504
Phone (281) 858-3937

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery97

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hea Clinic PA Ophthalmology Current Accepting new patients
Hea Clinic PA Ophthalmology CurrentSince Jul 1, 2022 Accepting new patients
Hea Clinic, PA Ophthalmology CurrentSince Jul 1, 2022 Accepting new patients
Utmb Faculty Group Practice Ophthalmology PastSince Apr 1, 2022 Accepting new patients

Locations

333 N Rivershire Dr
Ste 160
Conroe, TX 77304
Phone (936) 441-2020

1250 Cypress Station Dr
Ste A
Houston, TX 77090
Phone (281) 444-1677

2855 Gramercy St
Houston, TX 77025
Phone (713) 668-1828

2855 Gramercy St
Ste 400
Houston, TX 77025

22659 Highway 59 N
Ste 100
Kingwood, TX 77339
Phone (281) 858-3937

1699 Research Forest Dr
Ste 150
Shenandoah, TX 77380
Phone (281) 363-2071

5211 FM 2920 Rd
Ste 102
Spring, TX 77388
Phone (281) 444-1677

1111 Highway 6
Ste 120
Sugar Land, TX 77478
Phone (281) 565-2020

1447 Highway 6
Ste 110
Sugar Land, TX 77478
Phone (281) 565-2020

Interoperability endpoints

  • Direct secure messaging: anam.mazharuddin@houstoneye.direct.eyemdemr.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1526083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1508356858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 GRAMERCY ST STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251756",
            "telephone_number": "713-668-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 FM 2920 RD STE 102",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773883004",
            "telephone_number": "281-444-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZHARUDDIN",
        "first_name": "ANAM",
        "middle_name": "AZIMUDDIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-12",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "T6963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anam.mazharuddin@houstoneye.direct.eyemdemr.com",
            "affiliation": "N",
            "endpointDescription": "direct message address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5211 Fm 2920 Rd Ste 102",
            "city": "Spring",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773883004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANAM",
            "last_name": "AZIMUDDIN",
            "middle_name": "FATIMA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.