Active NPI
Augustine Kanebi Mabatah, M.D.
- Ophthalmology Physician
- Houston, TX
National Provider Identifier
1508968017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- J1540
- Practice address
- 8300 Homestead Rd
Houston, TX 77028-2145 - Phone
- (713) 635-5177
- Fax
- (713) 631-8242
- NPI assigned
- Sep 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | J1540 | TX | Primary |
Addresses
Primary practice location
8300 Homestead Rd
Houston, TX 77028-2145
Mailing address
8300 Homestead Rd
Houston, TX 77028-2145
Phone (713) 635-5177
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110414000037 | TX | Practitioner - Ophthalmology | 9638060890 | Practice locations: Houston, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1540 | TX | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508968017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8300 HOMESTEAD RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770282145",
"telephone_number": "713-635-5177",
"fax_number": "713-631-8242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8300 HOMESTEAD RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770282145",
"telephone_number": "713-635-5177",
"fax_number": "713-631-8242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MABATAH",
"first_name": "AUGUSTINE",
"middle_name": "KANEBI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "J1540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.