Individual provider Active NPI

Syed Sameer Mohiuddin, D.O.

  • Surgery Physician
  • Kyle, TX
National Provider Identifier
1568664670
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
L9814 Issued in TX
Practice address
1180 Seton Parkway
Suite 270
Kyle, TX 78640-5982
Phone
(512) 268-0800
Fax
(512) 268-0811
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X L9814 TX
Surgery Physician 208600000X L9814 TX Primary

Addresses

Primary practice location

1180 Seton Parkway
Suite 270
Kyle, TX 78640-5982

Mailing address

1180 Seton Parkway
Suite 270
Kyle, TX 78640-5982
Phone (512) 268-0800

Other identifiers 3

IdentifierTypeStateIssuer
8BZ610OtherTXBCBS
8F21260OtherTXMEDICARE
078099104MedicaidTX

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
I20071024000266 TX Practitioner - General Surgery 1052408945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Kansas City University of Physicians and Surgeons, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Bariatric Surgeons, PLLCGroup PAC ID 4385612308, 8 clinicians
Capital Surgeons Group, PLLCGroup PAC ID 8527039031, 14 clinicians

Practice addresses (Care Compare)

3705 Medical Pkwy
Suite 210
Austin, TX 78705-1027
Phone (512) 338-5024

5625 Eiger Rd
Suite 230
Austin, TX 78735-8983
Phone (512) 441-7755

Hospital & facility affiliations

  • Ascension Seton Hays Hospital, Kyle, TX, CCN 670056
  • Ascension Seton Medical Center Austin Hospital, Austin, TX, CCN 450056
  • St David'S Medical Center Hospital, Austin, TX, CCN 450431
  • Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272
  • Baylor Scott & White Medical Center - Buda Hospital, Buda, TX, CCN 670131

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L9814TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Surgeons Group, PLLC Surgery CurrentSince Mar 1, 2021 Accepting new patients
Southwest Bariatric Surgeons PLLC Surgery CurrentSince Mar 1, 2021 Accepting new patients
Southeast Surgical Associates, P.a. Surgery Past Accepting new patients

Locations

505 W Louis Henna Blvd
Ste 220
Austin, TX 78728
Phone (512) 498-4860

5625 Eiger Rd
Ste 230
Austin, TX 78735
Phone (512) 441-7755

3705 Medical Pkwy
Ste 250
Austin, TX 78705
Phone (512) 302-1210

3705 Medical Pkwy
Ste 210
Austin, TX 78705
Phone (512) 338-5024

5235 Overpass Rd
Buda, TX 78610
Phone (512) 324-7468

5615 Kyle Center Dr
Kyle, TX 78640
Phone (512) 409-9903

1180 Seton Pkwy
Ste 270
Kyle, TX 78640
Phone (512) 268-0800

1305 Wonder World Dr
Ste 100
San Marcos, TX 78666
Phone (512) 353-8658

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22422/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/19317/brand/1/csg/1/fhir/r4
  • Direct secure messaging: syed.mohiuddin.1@22422.direct.athenahealth.com
  • Direct secure messaging: smohiuddin295463@christushealth.direct-ci.net

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 6

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1568664670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 SETON PARKWAY",
            "address_2": "SUITE 270",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786405982",
            "telephone_number": "512-268-0800",
            "fax_number": "512-268-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 SETON PARKWAY",
            "address_2": "SUITE 270",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786405982",
            "telephone_number": "512-268-0800",
            "fax_number": "512-268-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHIUDDIN",
        "first_name": "SYED",
        "middle_name": "SAMEER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "L9814",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "L9814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8BZ610",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "8F21260",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078099104",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

Verify at the official NPI Registry.