Muttaz Abusamra

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

BP10089974 Issued in TX

Practice address

301 University Blvd
Galveston, TX 77555

Phone

(409) 747-0534

Fax

(409) 747-0721

NPI assigned

Jun 11, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Muttaz Mohammad Mahmoud Abusamra Other name

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1598507485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "77555",
            "telephone_number": "409-747-0534",
            "fax_number": "409-747-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "77555",
            "telephone_number": "409-747-0534",
            "fax_number": "409-747-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUSAMRA",
        "first_name": "MUTTAZ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "BP10089974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MUTTAZ",
            "last_name": "ABUSAMRA",
            "middle_name": "MOHAMMAD MAHMOUD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robinder Pal Abrol, DO
• Absolute Kheir Services, Inc.
• Tareq Moh'D Ali Abu Sharifeh, MD
• Tewfeek Kamal Abu-Shami, MD
• Sarah Elizabeth Abuan, FNP-C
• Accentcare Inc
• Estefany Acevedo Carvajal, MD
• Lorena Cardoso Achcar
• Ashley Adams, MD
• Ashley Lynn Adams, APRN, NNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.