Individual provider Active NPI

Nabiha Mohammed

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1679291991
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18358 Issued in TX
Practice address
7877 Willow Chase Blvd
Houston, TX 77070-5934
Phone
(832) 869-4818
Fax
(832) 241-2902
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA18358 TX Primary

Addresses

Primary practice location

7877 Willow Chase Blvd
Houston, TX 77070-5934

Mailing address

3600 N Edwards St Apt 2202
Midland, TX 79705-5229
Phone (214) 843-5457

Other practice location 1

3600 N Garfield St
Midland, TX 79705-6329
Phone (432) 620-1120

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241015002123 TX Practitioner - Physician Assistant 5698207645 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Clinic Medical Group PLLCGroup PAC ID 4082017512, 14 clinicians

Practice addresses (Care Compare)

2217 Park Bend Dr
Austin, TX 78758-5072
Phone (916) 746-2343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA18358TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Clinic Medical Group, PLLC CurrentSince Oct 31, 2025 Accepting new patients

Locations

2217 Park Bend Dr
Austin, TX 78758
Phone (916) 746-2343

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.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1679291991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 N EDWARDS ST APT 2202",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797055229",
            "telephone_number": "214-843-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7877 WILLOW CHASE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770705934",
            "telephone_number": "832-869-4818",
            "fax_number": "832-241-2902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 N Garfield St",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797056329",
            "country_code": "US",
            "telephone_number": "432-620-1120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAMMED",
        "first_name": "NABIHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.