Organization Active NPI

Houston Idcare LLC

  • Infectious Disease Physician
  • Spring, TX
National Provider Identifier
1649051491
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
HOUSTON IDCARE LLC
Practice address
19923 Cerro Vista St
Spring, TX 77379-1650
Phone
(281) 433-6479
NPI assigned
Oct 9, 2023
Last updated
Oct 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Authorized official

Name
Hana Iqbal Javaid, MDNPI 1427345776
Title
Owner
Phone
(281) 433-6479

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
Infectious Disease Physician 207RI0200X NU Primary

Addresses

Primary practice location

19923 Cerro Vista St
Spring, TX 77379-1650

Mailing address

19923 Cerro Vista St
Spring, TX 77379-1650
Phone (281) 433-6479

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240103003478 TX Part B Supplier - Clinic/Group Practice 4486005477 Receives reassigned benefits from 1 practitioner
Practice locations: Spring, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1649051491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19923 CERRO VISTA ST",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773791650",
            "telephone_number": "281-433-6479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19923 CERRO VISTA ST",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773791650",
            "telephone_number": "281-433-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON IDCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "JAVAID",
        "authorized_official_first_name": "HANA",
        "authorized_official_middle_name": "IQBAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-433-6479",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.