Individual provider Active NPI

Mahboobeh Mahdavinia

  • Allergy & Immunology (Internal Medicine) Physician
  • Houston, TX
National Provider Identifier
1659514131
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
V0033 Issued in TX
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

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140908001373 IL Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 9830318724 Reassigns benefits to 2 organizations
I20240531003317 TX Practitioner - Allergy/Immunology 9830318724 Reassigns benefits to 1 organization

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
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

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 Hospital, Houston, TX, CCN 450068

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V0033TXMDAllergy & Immunology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Jun 1, 2024 Accepting new patients
Ut Physicians Internal Medicine CurrentSince Jun 1, 2024 Accepting new patients
Cook County Current Accepting new patients
Cook County Internal Medicine CurrentSince Feb 17, 2015 Accepting new patients
Rush University Medical Group Internal Medicine CurrentSince Nov 1, 2020 Accepting new patients
Cook County CurrentSince Feb 17, 2015 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

  • Direct secure messaging: mmahdavinia101855@direct.rush.rush-health.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.