Individual provider Active NPI

Marjon Monfared, M.D.

  • Adult Medicine Physician
  • Houston, TX
National Provider Identifier
1639512395
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
R2926 Issued in TX
Practice address
5373 W Alabama St Ste 120
Houston, TX 77056-5932
Phone
(713) 552-1112
Fax
(816) 207-0230
NPI assigned
Apr 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X R2926 TX Primary

Addresses

Primary practice location

5373 W Alabama St Ste 120
Houston, TX 77056-5932

Mailing address

5373 W Alabama St Ste 120
Houston, TX 77056-5932
Phone (713) 552-1112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20171204003127 KS Practitioner - Family Practice 9133486855 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R2926TXMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Mission Medical Center Inc Family Medicine CurrentSince Dec 20, 2017 Accepting new patients

Locations

6815 Hilltop Rd
Ste 100
Shawnee, KS 66226
Phone (816) 468-8820

9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1639512395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5373 W ALABAMA ST STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770565932",
            "telephone_number": "713-552-1112",
            "fax_number": "816-207-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5373 W ALABAMA ST STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770565932",
            "telephone_number": "713-552-1112",
            "fax_number": "816-207-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONFARED",
        "first_name": "MARJON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "R2926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.