Ali Ghazavi, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

773335 Issued in TX

Practice address

4747 Bellaire Blvd
Suite 101
Bellaire, TX 77401-4527

Phone

(713) 622-1700

NPI assigned

Jan 8, 2013

Last updated

Oct 7, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ali.ghazavi@1338.chartlogic.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Procenture Medical Services LLC

  dba ProCenture Medical Services

  • Primary Care Clinic/Center
  • Houston, TX
  • NPI 1043719867
  Medicare reassignment NPD
• Sun Primary Care Clinic, PLLC

  • Primary Care Clinic/Center
  • Bellaire, TX
  • NPI 1699147611
  Authorized official Same address or phone

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1679810873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 BELLAIRE BLVD",
            "address_2": "SUITE 101",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014527",
            "telephone_number": "713-622-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 BELLAIRE BLVD",
            "address_2": "SUITE 101",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014527",
            "telephone_number": "713-622-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAZAVI",
        "first_name": "ALI",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-08",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "773335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Generation Medical Partners, LLC
• Genesis Clinic & Research PLLC
• Bernard M Gerber, M.D.
• Howard B Gerber, M.D.
• Edvard Gharibian Gharghi
• Gina Marie Gheller, LCSW
• Giancarlo G. Romero, DDS, Ms PA (Houston Dental Implant Center)
• Jacqueline Frois Gibson, FNP-C
• Shulunda Kinta' Gibson, M.A., CCC-SLP
• Christopher Gideon

• Adult Health Nurse Practitioner in Bellaire, TX
• Providers in Bellaire, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.