Mohamed Rezk

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

BP10084471 Issued in TX

Practice address

301 University Blvd # 9.128
Galveston, TX 77555-5302

Phone

(409) 772-8031

Fax

(409) 772-6940

NPI assigned

May 11, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Utmb

  • Chronic Disease Hospital
  • Galveston, TX
  • NPI 1386923670
  NPD (past)

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1598455602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD # 9.128",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550539",
            "telephone_number": "409-772-8031",
            "fax_number": "409-772-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD # 9.128",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775555302",
            "telephone_number": "409-772-8031",
            "fax_number": "409-772-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZK",
        "first_name": "MOHAMED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "BP10084471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicente A Resto, MD
• Krystal F Revai, M.D.
• David Reyes, MD, MPH
• Avis Loretta Reynolds, RN
• David Reynoso, M.D., PH.D.
• Ruba Riachy, MD
• Roy F Riascos Castaneda, MD
• Maida Ribati, MD
• Allen Rice IV, CHW
• James Anthony Rice, DO

• Neurology Physician in Galveston, TX
• Providers in Galveston, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.