Individual provider Active NPI

Mohammad Monjurul Alam, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Sugar Land, TX
National Provider Identifier
1669535357
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
P0332 Issued in TX
Practice address
1411 Kentshire Ave
Sugar Land, TX 77479
Phone
(832) 772-9345
Fax
(844) 350-6551
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X P0332 TX Primary

Addresses

Primary practice location

1411 Kentshire Ave
Sugar Land, TX 77479

Mailing address

17415 Fountainview Cir
Sugar Land, TX 77479-3099

Other names 1

  • Dr. MD Monjurul Alam Former name

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
I20120821001035 TX Practitioner - Family PracticePractitioner - Geriatric Medicine 3971750290 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18400 Katy Fwy
Suite 570
Houston, TX 77094-1291
Phone (281) 944-9813

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Texas, PLLC CurrentSince Jul 5, 2015 Accepting new patients
M. M. Alam MD PLLC Geriatric Medicine CurrentSince Oct 10, 2015 Accepting new patients
Chca West Houston L P Past Accepting new patients

Locations

12121 Richmond Ave
Ste 120
Houston, TX 77082
Phone (281) 569-4647

18400 Katy Fwy
Ste 570
Houston, TX 77094
Phone (281) 944-9813

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

6319 Fairmont Pkwy
Ste 201
Pasadena, TX 77505
Phone (281) 991-7999

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: malam97045@directhoustonmethodist.org

Organizations & group practices 3

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1669535357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17415 FOUNTAINVIEW CIR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 KENTSHIRE AVE",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77479",
            "telephone_number": "832-772-9345",
            "fax_number": "844-350-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAM",
        "first_name": "MOHAMMAD",
        "middle_name": "MONJURUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "P0332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MD",
            "last_name": "ALAM",
            "middle_name": "MONJURUL",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.