Individual provider Active NPI

Fatima Rizwan Fazili, M. D.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1679740674
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6458 Issued in TX
Practice address
8901 Boone Rd
Houston, TX 77099-1659
Phone
(281) 454-0500
Fax
(281) 454-0516
NPI assigned
May 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT 190710 PA
Family Medicine Physician 207Q00000X 6458 TX Primary

Addresses

Primary practice location

8901 Boone Rd
Houston, TX 77099-1659

Mailing address

2 Sharpe St
Wyoming Valley Family Medicine Residency Program
Kingston, PA 18704-3715
Phone (570) 558-8900

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
I20120427000312 TX Practitioner - Family Practice 2163684705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
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
Houston, TX 77030-3005

8901 Boone Rd
Houston, TX 77099-1659
Phone (713) 526-4243

Hospital & facility affiliations

  • Harris Health Hospital, Houston, TX, CCN 450289

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT 190710PAMDFamily Medicine Physician
6458TXMDFamily Medicine Physician
P0049TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Family Medicine CurrentSince Apr 16, 2012 Accepting new patients
Ut Physicians CurrentSince Apr 16, 2012 Accepting new patients

Locations

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

8901 Boone Rd
Houston, TX 77099
Phone (281) 454-0500

Organizations & group practices 2

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 1

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": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1679740674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SHARPE ST",
            "address_2": "WYOMING VALLEY FAMILY MEDICINE RESIDENCY PROGRAM",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043715",
            "telephone_number": "570-558-8900",
            "fax_number": "570-552-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 BOONE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770991659",
            "telephone_number": "281-454-0500",
            "fax_number": "281-454-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZILI",
        "first_name": "FATIMA RIZWAN",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-09",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT 190710",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "6458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.