Organization Active NPI

Sam Houston Heart and Vascular Center PLLC

  • Interventional Cardiology Physician
  • Houston, TX
National Provider Identifier
1639620529
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
P1959 Issued in TX
Legal business name
SAM HOUSTON HEART AND VASCULAR CENTER PLLC
Practice address
18220 State Highway 249
Suite 205
Houston, TX 77070-4347
Phone
(832) 241-2001
Fax
(281) 547-7464
NPI assigned
Oct 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Aiya Saleh
Title
Credentialing Coordinator
Phone
(832) 220-4050

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0001X
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X P1959 TX Primary

Addresses

Primary practice location

18220 State Highway 249
Suite 205
Houston, TX 77070-4347

Mailing address

PO Box 733490
Dallas, TX 75373-3490
Phone (832) 241-2001

Other practice location 1

14015 Park Dr Ste 101
Tomball, TX 77377-6291
Phone (832) 241-2001

Other practice location 2

21216 Northwest Fwy Ste 290
Cypress, TX 77429-4728
Phone (832) 241-2001

Other identifiers 2

IdentifierTypeStateIssuer
365724901MedicaidTX
541786MedicaidTX

Other names 1

  • Bashir Al-Kaddoumi, MD,PA Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161128002619 TX Part B Supplier - Clinic/Group Practice 5597054882 Receives reassigned benefits from 2 practitioners
Practice locations: Tomball, TX; Houston, TX

National Provider Directory

National Provider Directory

Locations

18220 State Highway 249
#205
Houston, TX 77070

6585 Fannin St
Houston, TX 77030

6910 FM 1488 Rd
Ste 9
Magnolia, TX 77354
Phone (832) 241-2001

14015 Park Dr
Ste 101
Tomball, TX 77377
Phone (832) 241-2001

Practitioners & affiliated clinicians

Practitioners 2

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": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1639620529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733490",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733490",
            "telephone_number": "832-241-2001",
            "fax_number": "281-547-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18220 STATE HIGHWAY 249",
            "address_2": "SUITE 205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704347",
            "telephone_number": "832-241-2001",
            "fax_number": "281-547-7464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14015 Park Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Tomball",
            "state": "TX",
            "postal_code": "773776291",
            "country_code": "US",
            "telephone_number": "832-241-2001",
            "fax_number": "281-547-7464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21216 Northwest Fwy Ste 290",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774294728",
            "country_code": "US",
            "telephone_number": "832-241-2001",
            "fax_number": "281-547-7464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAM HOUSTON HEART AND VASCULAR CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "SALEH",
        "authorized_official_first_name": "AIYA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "832-220-4050"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "P1959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "365724901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541786",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bashir Al-Kaddoumi, MD,PA",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Bashir Al-Kaddoumi, MD,PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 19, 2026; 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.