Individual provider Active NPI

Imran Poonawala, D.O.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1548656283
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
BP10052620 Issued in TX
Practice address
13311 Hargrave Rd Ste 103
Houston, TX 77070-4310
Phone
(281) 890-6800
Fax
(281) 890-6865
NPI assigned
Apr 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10052620 TX Primary

Addresses

Primary practice location

13311 Hargrave Rd Ste 103
Houston, TX 77070-4310

Mailing address

13311 Hargrave Rd Ste 103
Houston, TX 77070-4310
Phone (281) 890-6800

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
I20180810001625 TX Practitioner - Internal Medicine 0446346316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Internal Medicine Specialists PLLCGroup PAC ID 0244316495, 3 clinicians

Practice addresses (Care Compare)

13311 Hargrave Rd
Suite 103
Houston, TX 77070-4310
Phone (281) 890-6800

Hospital & facility affiliations

  • Houston Methodist Willowbrook Hospital Hospital, Houston, TX, CCN 450844
  • HCA Houston Healthcare Northwest Hospital, Houston, TX, CCN 450638

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10052620TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Internal Medicine Specialists PLLC Internal Medicine CurrentSince Sep 1, 2018 Accepting new patients
Icare Clinic PLLC Internal Medicine PastSince Sep 1, 2019 Accepting new patients
Northwest Urgent Care Internal Medicine Past Accepting new patients

Locations

13311 Hargrave Rd
Ste 103
Houston, TX 77070
Phone (281) 586-7273

Interoperability endpoints

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

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": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1548656283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13311 HARGRAVE RD STE 103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704310",
            "telephone_number": "281-890-6800",
            "fax_number": "291-890-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13311 HARGRAVE RD STE 103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704310",
            "telephone_number": "281-890-6800",
            "fax_number": "281-890-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POONAWALA",
        "first_name": "IMRAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-09",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10052620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.