Organization Active NPI

Fattah PLLC

  • Internal Medicine Physician
  • Spring, TX
National Provider Identifier
1659249704
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FATTAH PLLC
Practice address
20212 Champion Forest Dr Ste 100
Spring, TX 77379-8781
Phone
(346) 478-6611
Fax
(832) 615-5595
NPI assigned
Oct 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Tariq Hussain, MDNPI 1588061030
Title
Owner
Phone
(832) 830-4316

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

20212 Champion Forest Dr Ste 100
Spring, TX 77379-8781

Mailing address

11510 Lago Bella Dr
Richmond, TX 77406-1572

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251204004718 TX Part B Supplier - Clinic/Group Practice 2062905292 Receives reassigned benefits from 5 practitioners
Practice locations: Spring, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2335645Fattah PLLC20212 Champion Forest Dr Ste 100, Spring, TX 77379Certificate of waiverDec 14, 2027

National Provider Directory

National Provider Directory

Locations

20212 Champion Forest Dr
Ste 100
Spring, TX 77379
Phone (346) 478-6611

Practitioners & affiliated clinicians

Practitioners 8

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": "1761609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1659249704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11510 LAGO BELLA DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774061572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20212 CHAMPION FOREST DR STE 100",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773798781",
            "telephone_number": "346-478-6611",
            "fax_number": "832-615-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATTAH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "TARIQ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-830-4316",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "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 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.