Individual provider Active NPI

Abdallah Sherif Radwan Mohamed, MD, MSC, PHD

  • Radiation Oncology Physician
  • Houston, TX
National Provider Identifier
1558075523
Registry record updated May 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
V9068 Issued in TX
Practice address
1919 Old Spanish TRL
Houston, TX 77054-2003
Phone
(832) 957-6500
NPI assigned
Jan 13, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X V9068 TX Primary

Addresses

Primary practice location

1919 Old Spanish TRL
Houston, TX 77054-2003

Mailing address

2525A Holly Hall St
Houston, TX 77054-4124

Other practice location 1

2491 S Braeswood Blvd
Houston, TX 77030-4332
Phone (832) 355-7118

Other practice location 2

2525A Holly Hall St
Houston, TX 77054-4124
Phone (713) 566-3600

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
I20230313001066 TX Practitioner - Radiation Oncology 1456725571 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians

Practice addresses (Care Compare)

1919 Old Spanish TRL
Houston, TX 77054-2003

7200 Cambridge St
Houston, TX 77030-4202

Hospital & facility affiliations

  • Baylor St Lukes Medical Center Hospital, Houston, TX, CCN 450193
  • Harris Health Hospital, Houston, TX, CCN 450289

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V9068TXMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Apr 1, 2023 Accepting new patients
Baylor College of Medicine CurrentSince Apr 1, 2023 Accepting new patients
Baylor College of Medicine CurrentSince Apr 1, 2023 Accepting new patients
Baylor College of Medicine CurrentSince Apr 1, 2023 Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

2491 S Braeswood Blvd
Houston, TX 77030
Phone (713) 520-8860

2525 Holly Hall St
#A
Houston, TX 77054
Phone (713) 526-4243

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

1919 Old Spanish Trl
Houston, TX 77054
Phone (713) 798-3750

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

1919 Old Spanish Trl
Fl 1
Houston, TX 77054
Phone (713) 798-4321

Organizations & group practices 5

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": "1673568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748649600000",
    "number": "1558075523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525A HOLLY HALL ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770544124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 OLD SPANISH TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542003",
            "telephone_number": "832-957-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2491 S Braeswood Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770304332",
            "country_code": "US",
            "telephone_number": "832-355-7118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525A Holly Hall St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770544124",
            "country_code": "US",
            "telephone_number": "713-566-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "ABDALLAH",
        "middle_name": "SHERIF RADWAN",
        "credential": "MD, MSC, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-13",
        "last_updated": "2025-05-31",
        "certification_date": "2025-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "V9068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.