Individual provider Active NPI

Akram A Mushtaha, M.D., M.S

  • Allergy Physician
  • Pasadena, TX
National Provider Identifier
1598942203
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
J0781 Issued in TX
Practice address
5048 Crenshaw Rd # 100
Pasadena, TX 77505-3047
Phone
(713) 475-5863
Fax
(713) 475-5920
NPI assigned
Jan 24, 2008
Last updated
Nov 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X J0781 TX Primary
Pediatric Allergy/Immunology Physician 2080P0201X J0781 TX

Addresses

Primary practice location

5048 Crenshaw Rd # 100
Pasadena, TX 77505-3047

Mailing address

5048 Crenshaw Rd # 100
Pasadena, TX 77505-3047
Phone (713) 475-5863

Other identifiers 1

IdentifierTypeStateIssuer
035574501MedicaidTX

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
I20050729000391 TX Practitioner - Allergy/Immunology 9032147269 Reassigns benefits to 1 organization
Practice locations: Pasadena, TX

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5048 Crenshaw Rd
Suite 100
Pasadena, TX 77505-3047
Phone (713) 475-5863

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J0781TXMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Allergy Center, PA CurrentSince Apr 19, 2005 Accepting new patients

Locations

3315 Burke Rd
Ste 202
Pasadena, TX 77504
Phone (713) 475-5863

3801 Vista Rd
Ste 360
Pasadena, TX 77504
Phone (713) 359-2221

5048 Crenshaw Rd
#100
Pasadena, TX 77505
Phone (713) 475-5863

5048 Crenshaw Rd
Ste 100
Pasadena, TX 77505
Phone (713) 475-5863

6516 Broadway St
Ste 104
Pearland, TX 77581
Phone (281) 412-3873

Interoperability endpoints

  • Direct secure messaging: amushtaha@gcacp-tx.direct.office.nextgen.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1598942203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5048 CRENSHAW RD # 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053047",
            "telephone_number": "713-475-5863",
            "fax_number": "713-475-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5048 CRENSHAW RD # 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053047",
            "telephone_number": "713-475-5863",
            "fax_number": "713-475-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSHTAHA",
        "first_name": "AKRAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D., M.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-24",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "TX",
            "license": "J0781",
            "primary": true
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "TX",
            "license": "J0781",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035574501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.