Organization Active NPI

Fulshear Medical Associates PLLC

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1558816934
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P1508 Issued in TX
Legal business name
FULSHEAR MEDICAL ASSOCIATES PLLC
Practice address
19255 Park Row Ste 105
Houston, TX 77084-7310
Phone
(832) 437-9958
NPI assigned
Aug 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Authorized official

Name
Dr. Syed Ali Abrar, MDNPI 1912178039
Title
Owner
Phone
(832) 437-9958

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X P1508 TX Primary

Addresses

Primary practice location

19255 Park Row Ste 105
Houston, TX 77084-7310

Mailing address

19255 Park Row Ste 105
Houston, TX 77084-7310
Phone (832) 437-9958

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161012001342 TX Part B Supplier - Clinic/Group Practice 2466740139 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

19002 Park Row
Ste 105
Houston, TX 77084
Phone (345) 251-5901

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 4

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": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1558816934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19255 PARK ROW STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770847310",
            "telephone_number": "832-437-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19255 PARK ROW STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770847310",
            "telephone_number": "832-437-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULSHEAR MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "ABRAR",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-437-9958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P1508",
            "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 Oct 13, 2016; 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.