Organization Active NPI

Houston Id Physician, P.a.

  • Infectious Disease Physician
  • Houston, TX
National Provider Identifier
1699076281
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
HOUSTON ID PHYSICIAN, P.A.
Practice address
837 FM 1960 Rd W
Ste 101
Houston, TX 77090-3423
Phone
(281) 674-7812
NPI assigned
Nov 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Authorized official

Name
Dr. Nabil Khoury, M.D.NPI 1053366351
Title
President
Phone
(832) 410-1464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X TX Primary

Addresses

Primary practice location

837 FM 1960 Rd W
Ste 101
Houston, TX 77090-3423

Mailing address

837 FM 1960 Rd W
Ste 101
Houston, TX 77090-3423
Phone (281) 674-7812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110411000442 TX Part B Supplier - Clinic/Group Practice 1153505409 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

837 FM 1960 Rd W
Ste 101
Houston, TX 77090
Phone (281) 674-7812

1125 Cypress Station Dr
Ste A-3
Houston, TX 77090
Phone (281) 533-5333

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1699076281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 FM 1960 RD W",
            "address_2": "STE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903423",
            "telephone_number": "281-674-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 FM 1960 RD W",
            "address_2": "STE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903423",
            "telephone_number": "281-674-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON ID PHYSICIAN, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "KHOURY",
        "authorized_official_first_name": "NABIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-410-1464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.