Individual provider Active NPI

Syed A Gardezi, MD

  • Internal Medicine Physician
  • Richmond, TX
National Provider Identifier
1689637464
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M2955 Issued in TX
Practice address
1628 Crabb River Rd Ste B
Richmond, TX 77469-5890
Phone
(281) 545-8090
Fax
(281) 545-8339
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M2955 TX Primary

Addresses

Primary practice location

1628 Crabb River Rd Ste B
Richmond, TX 77469-5890

Mailing address

1628 Crabb River Rd Ste B
Richmond, TX 77469-5890
Phone (281) 545-8090

Other identifiers 1

IdentifierTypeStateIssuer
178500801MedicaidTX

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
I20060209000695 TX Practitioner - Internal Medicine 3577578632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Syed a Gardezi MDGroup PAC ID 2860494770, 2 clinicians

Practice addresses (Care Compare)

1628 Crabb River Rd
Suite B
Richmond, TX 77469-5890
Phone (281) 545-8090

Hospital & facility affiliations

  • Accentcare Home Health of Houston - South, LLC Home health agency, Sugar Land, TX, CCN 679102
  • Enhabit Home Health Home health agency, Richmond, TX, CCN 458285
  • Memorial Hermann Sugar Land Hospital Hospital, Sugar Land, TX, CCN 450848
  • Houston Methodist Sugarland Hospital Hospital, Sugar Land, TX, CCN 450820

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M2955TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Syed a Gardezi MD Internal Medicine CurrentSince Sep 19, 2006 Accepting new patients
South Texas Medical Clinics, P.a. Past Accepting new patients
South Texas Medical Clinics, P.a. Past Accepting new patients
Memorial Hermann Neighborhood Health Centers, PLLC Internal Medicine Past Accepting new patients

Locations

1628 Crabb River Rd
Ste B
Richmond, TX 77469
Phone (281) 545-8090

Interoperability endpoints

  • Direct secure messaging: sgardezi155485@memorialhermann.direct-ci.com

Organizations & group practices 4

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 4

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1689637464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 CRABB RIVER RD STE B",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774695890",
            "telephone_number": "281-545-8090",
            "fax_number": "281-545-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 CRABB RIVER RD STE B",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774695890",
            "telephone_number": "281-545-8090",
            "fax_number": "281-545-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDEZI",
        "first_name": "SYED",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M2955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178500801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.