Individual provider Active NPI

Sason Tavakoli-Sabour, D.O.

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1649626706
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
R5660 Issued in TX
Practice address
9105 N Wayside Dr
Houston, TX 77028-1030
Phone
(713) 633-2020
NPI assigned
May 9, 2016
Last updated
Jan 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X R5660 TX Primary

Addresses

Primary practice location

9105 N Wayside Dr
Houston, TX 77028-1030

Mailing address

9105 N Wayside Dr
Houston, TX 77028-1030
Phone (713) 633-2020

Other identifiers 1

IdentifierTypeStateIssuer
4163693-01MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20201020000236 TX Practitioner - PsychiatryPractitioner - Neurology 3375963093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

9105 N Wayside
Family Medicine Settegast HLTH Ctr
Houston, TX 77028-1030
Phone (713) 633-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.59 of 100Reported as group
Quality
72.49
Promoting interoperability
94
Improvement activities
40
Cost
68.19

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Psychiatry CurrentSince Jan 15, 2024 Accepting new patients
Ut Physicians CurrentSince Jan 15, 2024 Accepting new patients
The University of Texas Rio Grande Valley Psychiatry Current Accepting new patients
Coastal Plains Community MHMR Center CurrentSince Sep 1, 2020 Accepting new patients
Coastal Plains Community MHMR Center Psychiatry CurrentSince Sep 1, 2020 Accepting new patients
Coastal Plains Community MHMR Center Past Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients

Locations

2102 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 296-1437

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6410 Fannin St
Ste LL135
Houston, TX 77030
Phone (832) 325-6543

9105 N Wayside Dr
Houston, TX 77028
Phone (713) 633-2020

2810 W Expressway 83
Mercedes, TX 78570
Phone (956) 296-1831

200 Marriott Dr
Portland, TX 78374
Phone (361) 777-3991

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1649626706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9105 N WAYSIDE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770281030",
            "telephone_number": "713-633-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 N WAYSIDE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770281030",
            "telephone_number": "713-633-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVAKOLI-SABOUR",
        "first_name": "SASON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-09",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "R5660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4163693-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.