Ahmad Mohamed Jeroudi, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

P5822 Issued in TX

Practice address

5060 Crenshaw Rd
Suite 200
Pasadena, TX 77505-3145

Phone

(832) 230-3379

Fax

(832) 230-3724

NPI assigned

Jan 13, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine, Interventional Cardiology

Education

University of Texas Southwestern Medical School at Dallas, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mohamed O Jeroudi MD PAGroup PAC ID 6204821663, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Houston Healthcare Southeast Hospital, Pasadena, TX, CCN 450097
• St Luke'S Patients Medical Center Hospital, Pasadena, TX, CCN 670031
• HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: ajeroudi468719@direct.stlukeshealth.org
• FHIR API: https://fhir4.healow.com/fhir/r4/DBBFBA/Endpoint/DBBFBA

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.

• Mohamed O Jeroudi MD PA

  • Cardiovascular Disease Physician
  • Pasadena, TX
  • NPI 1417094665
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chca Bayshore LP

  • General Acute Care Hospital
  • Pasadena, TX
  • NPI 1174576698
  Care Compare affiliation
• Chca Clear Lake LP

  • General Acute Care Hospital
  • Webster, TX
  • NPI 1063466035
  Care Compare affiliation
• PMC Hospital, LLC

  • General Acute Care Hospital
  • Pasadena, TX
  • NPI 1407990088
  Care Compare affiliation

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

{
    "created_epoch": "1200182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1649456336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 CRENSHAW RD",
            "address_2": "SUITE 200",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053145",
            "telephone_number": "832-230-3379",
            "fax_number": "832-230-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 CRENSHAW RD",
            "address_2": "SUITE 200",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053145",
            "telephone_number": "832-230-3379",
            "fax_number": "832-230-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEROUDI",
        "first_name": "AHMAD",
        "middle_name": "MOHAMED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-13",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "P5822",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P5822",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean C Stout DDS and Associates Inc
• Jean C Stout DDS and Associates Practice PLLC
• Ming Jeang, M.D.
• Joynita Jenkins, RPH
• Patrick Sean Jernigan
• Mohamed O Jeroudi, MD
• Brittney Alexi Jimenez, OD
• Cynthia Jimenez
• Jimmy Joe Moon, DDS & Barbara Seid Moon, DDS, Inc.
• Jireh Living Assistance Service LLC

• Cardiovascular Disease Physician in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.