NPIMap

Organization Active NPI

Memorial Pulmonary and Sleep Disorders Associates P a

  • Pulmonary Disease Physician
  • Houston, TX
National Provider Identifier
1629103221
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
K4205 Issued in TX
Legal business name
MEMORIAL PULMONARY AND SLEEP DISORDERS ASSOCIATES P A
Practice address
18300 Katy Fwy Ste 615
Houston, TX 77094-1494
Phone
(713) 464-8099
Fax
(713) 465-1921
NPI assigned
Feb 22, 2007
Last updated
Aug 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Dr. Jamal A. Razzack, M.D.NPI 1831192319
Title
Physician
Phone
(713) 464-8099

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
Pulmonary Disease Physician 207RP1001X K4205 TX Primary

Addresses

Primary practice location

18300 Katy Fwy Ste 615
Houston, TX 77094-1494

Mailing address

10837 Katy Fwy
Suite 250
Houston, TX 77079-2205
Phone (713) 464-8099

Other practice location 1

10837 Katy Fwy
Suite 250
Houston, TX 77079-2204
Phone (713) 464-8099

Other identifiers 6

IdentifierTypeStateIssuer
10023338OtherTXAMERIGROUP
K4205OtherTXTEXAS LICENSE
5672615OtherTXAETNA
8F9180OtherTXBCBS
151461401MedicaidTX
1831192319OtherTXNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091110000382 TX Part B Supplier - Clinic/Group Practice 2365580438 Receives reassigned benefits from 53 practitioners
Practice locations: Houston, TX; Katy, TX
O20240611004689 TX DME Supplier - Physician - Pulmonary DiseaseDME Supplier - Sleep Laboratory/Medicine 2365580438 Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Memorial Pulmonary & Sleep Disorder18300 Katy Fwy, Houston, TX 77094-1494(713) 464-8099 Continuous Positive Airway Pressure (CPAP) Devices Accepts assignmentParticipating since Jan 1, 2005

National Provider Directory

National Provider Directory

Locations

18300 Katy Fwy
Ste 105
Houston, TX 77094

18300 Katy Fwy
Ste 615
Houston, TX 77094
Phone (713) 464-8099

Practitioners & affiliated clinicians

Practitioners 56

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 56

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1629103221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10837 KATY FWY",
            "address_2": "SUITE 250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792205",
            "telephone_number": "713-464-8099",
            "fax_number": "713-465-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 KATY FWY STE 615",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770941494",
            "telephone_number": "713-464-8099",
            "fax_number": "713-465-1921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10837 Katy Fwy",
            "address_2": "Suite 250",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770792204",
            "country_code": "US",
            "telephone_number": "713-464-8099",
            "fax_number": "713-465-1921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEMORIAL PULMONARY AND SLEEP DISORDERS ASSOCIATES P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "RAZZACK",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "713-464-8099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "K4205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10023338",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "K4205",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5672615",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8F9180",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151461401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1831192319",
            "state": "TX"
        }
    ],
    "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 Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.