Active NPI
Mahboobeh Mahdavinia
- Allergy & Immunology (Internal Medicine) Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology (Internal Medicine) Physician
- License
- V0033
- Practice address
- 6410 Fannin St Ste 720
Houston, TX 77030-5205 - Phone
- (713) 486-0340
- NPI assigned
- Apr 13, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | V0033 | TX | Primary |
Addresses
Primary practice location
6410 Fannin St Ste 720
Houston, TX 77030-5205
Mailing address
6431 Fannin St
Houston, TX 77030-1501
Phone (713) 500-6838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6410 Fannin St
Suite 720
Houston, TX 77030-5205
Phone (713) 500-8360
Hospital & facility affiliations
- Memorial Hermann - Texas Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V0033 | TX | MD | Allergy & Immunology (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Current | Accepting new patients | |
| Ut Physicians | Internal Medicine | Current | Accepting new patients |
| Cook County | Current | Accepting new patients | |
| Cook County | Internal Medicine | Current | Accepting new patients |
| Rush University Medical Group | Internal Medicine | Current | Accepting new patients |
| Cook County | Current | Accepting new patients |
Locations
75 Remittance Dr
Dept 1611
Chicago, IL 60675
1900 W Polk St
#1200
Chicago, IL 60612
Phone (312) 864-0917
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
1725 W Harrison St
Ste 117
Chicago, IL 60612
Phone (312) 942-6292
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
6500 West Loop S
Ste 200F
Bellaire, TX 77401
Phone (713) 486-2900
6410 Fannin St
Ste LL135
Houston, TX 77030
Phone (832) 325-6543
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
6431 Fannin St
Houston, TX 77030
Phone (713) 500-5800
6410 Fannin St
Ste 720
Houston, TX 77030
Phone (713) 486-0340
Interoperability endpoints
- mmahdavinia101855@direct.rush.rush-health.com
- mmahdavinia@direct.ccprovider.org
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1588612832
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
-
- Health Educator
- Houston, TX
- NPI 1316534472
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1831219450
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Houston, TX
- NPI 1437189115
Hospital
-
- General Acute Care Hospital
- Houston, TX
- NPI 1982666111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1659514131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6431 FANNIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301501",
"telephone_number": "713-500-6838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6410 FANNIN ST STE 720",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770305205",
"telephone_number": "713-486-0340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHDAVINIA",
"first_name": "MAHBOOBEH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-13",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0201X",
"taxonomy_group": "",
"desc": "Internal Medicine, Allergy & Immunology",
"state": "TX",
"license": "V0033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 9, 2025; 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.