Individual provider Active NPI

Rizwan Ali, M.D

  • Internal Medicine Physician
  • Kingwood, TX
National Provider Identifier
1588005276
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
S2210 Issued in TX
Practice address
19701 Kingwood Dr Ste 9
Kingwood, TX 77339-3775
Phone
(304) 435-7553
NPI assigned
Jul 10, 2013
Last updated
Nov 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 302226 LA
Internal Medicine Physician 207R00000X S2210 TX Primary
Hospitalist Physician 208M00000X 29105 WV

Addresses

Primary practice location

19701 Kingwood Dr Ste 9
Kingwood, TX 77339-3775

Mailing address

PO Box 540088
Houston, TX 77254-0088

Other practice location 1

309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-4541

Other practice location 2

501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432

Other practice location 3

3200 MacCorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 388-5432

Other practice location 4

211 4th St
Rapides Regional Medical Center
Alexandria, LA 71301
Phone (318) 769-5283

Other practice location 5

2727 W Holcombe Blvd
Houston, TX 77025-1669
Phone (713) 442-0000

Other identifiers 3

IdentifierTypeStateIssuer
415876804MedicaidTX
415876801MedicaidTX
415876805MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190904003301 WV Practitioner - Internal Medicine 5193968204 Reassigns benefits to 1 organization
I20200728002959 TX Practitioner - Internal Medicine 5193968204 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excellence Care Clinic MD PAGroup PAC ID 0042606576, 2 clinicians
Hospital Medicine Services of TX, PLLCGroup PAC ID 3274998067, 376 clinicians

Practice addresses (Care Compare)

19701 Kingwood Dr
Suite 9
Kingwood, TX 77339-3775
Phone (304) 435-7573

22999 Hwy 59 N
Kingwood, TX 77339-4412
Phone (281) 348-8000

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
302226LAMDInternal Medicine Physician
S2210TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kelsey-Seybold Medical Group, PLLC Internal Medicine CurrentSince Sep 13, 2021 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Jun 1, 2020 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Jun 1, 2020 Accepting new patients
Hospital Medicine Services of TX, PLLC Hospitalist CurrentSince Aug 1, 2023 Accepting new patients
Excellence Care Clinic MD PA Internal Medicine CurrentSince Jan 31, 2022 Accepting new patients
KPH-Consolidation, Inc. Past Accepting new patients
Chca Conroe LP Past Accepting new patients

Locations

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412

18839 McKay Dr
Humble, TX 77338
Phone (281) 446-3655

19701 Kingwood Dr
Ste 9
Kingwood, TX 77339
Phone (281) 548-3555

526 Kingwood Dr
Kingwood, TX 77339
Phone (832) 726-6776

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

7010 Highway 6
Missouri City, TX 77459
Phone (713) 442-4200

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

11511 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 442-4997

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

2515 Business Center Dr
Pearland, TX 77584
Phone (713) 442-7200

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

3100 Maccorkle Ave SE
Ste 205
Charleston, WV 25304
Phone (304) 388-2303

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

3200 Maccorkle Ave SE
#C
Charleston, WV 25304
Phone (304) 347-1336

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1588005276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540088",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772540088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19701 KINGWOOD DR STE 9",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393775",
            "telephone_number": "304-435-7553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712017407",
            "country_code": "US",
            "telephone_number": "318-966-4541",
            "fax_number": "318-966-4543",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Morris St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011326",
            "country_code": "US",
            "telephone_number": "304-388-5432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 MacCorkle Ave SE",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253041227",
            "country_code": "US",
            "telephone_number": "304-388-5432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 4th St",
            "address_2": "Rapides Regional Medical Center",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "71301",
            "country_code": "US",
            "telephone_number": "318-769-5283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2727 W Holcombe Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770251669",
            "country_code": "US",
            "telephone_number": "713-442-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI",
        "first_name": "RIZWAN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-10",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "302226",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S2210",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WV",
            "license": "29105",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "415876804",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "415876801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "415876805",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.