Organization Active NPI

Premier Cardiovascular Consultants PC

  • Cardiovascular Disease Physician
  • Cleveland, TX
National Provider Identifier
1558565705
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
L0739 Issued in TX
Legal business name
PREMIER CARDIOVASCULAR CONSULTANTS PC
Practice address
901 E Houston St
Suite C
Cleveland, TX 77327-4602
Phone
(281) 593-3389
Fax
(281) 592-0479
NPI assigned
Jun 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Authorized official

Name
Dr. Nabil Mahmood Ahmad, MDNPI 1235131319
Title
President
Phone
(281) 593-2899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X L0739 TX Primary

Addresses

Primary practice location

901 E Houston St
Suite C
Cleveland, TX 77327-4602

Mailing address

1105 N Washington Ave
Cleveland, TX 77327-3732
Phone (281) 593-3389

Other identifiers 1

IdentifierTypeStateIssuer
194264101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080718000130 TX Part B Supplier - Clinic/Group Practice 3870666209 Receives reassigned benefits from 1 practitioner
Practice locations: Cleveland, TX

National Provider Directory

National Provider Directory

Locations

203 N College Ave
Ste 2002
Cleveland, TX 77327

1105 N Washington Ave
Cleveland, TX 77327
Phone (281) 593-2899

1353 N Travis St
#354
Liberty, TX 77575
Phone (281) 593-2899

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1558565705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 N WASHINGTON AVE",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773273732",
            "telephone_number": "281-593-3389",
            "fax_number": "281-592-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E HOUSTON ST",
            "address_2": "SUITE C",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274602",
            "telephone_number": "281-593-3389",
            "fax_number": "281-592-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CARDIOVASCULAR CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "NABIL",
        "authorized_official_middle_name": "MAHMOOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-593-2899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L0739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194264101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.