Organization Active NPI

Ali Moussaoui MD PA

  • Neuromuscular Medicine (Psychiatry & Neurology) Physician
  • Houston, TX
National Provider Identifier
1609815596
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084N0008X
Legal business name
ALI MOUSSAOUI MD PA
Practice address
11914 Astoria Blvd
Houston, TX 77089-6064
Phone
(832) 831-1840
NPI assigned
Jun 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Ali Moussaoui, MDNPI 1114921905
Title
Owner
Phone
(832) 290-1722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0008X Primary

Addresses

Primary practice location

11914 Astoria Blvd
Houston, TX 77089-6064

Mailing address

PO Box 58805
Webster, TX 77598-8805
Phone (832) 290-1722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041103000148 TX Part B Supplier - Clinic/Group Practice 4082676812 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX; Pasadena, TX; Webster, TX

National Provider Directory

National Provider Directory

Locations

11914 Astoria Blvd
Ste 480
Houston, TX 77089
Phone (346) 642-6891

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1609815596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58805",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775988805",
            "telephone_number": "832-290-1722",
            "fax_number": "844-413-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11914 ASTORIA BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896064",
            "telephone_number": "832-831-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI MOUSSAOUI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "MOUSSAOUI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-290-1722",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.