Individual provider Active NPI

Rossana Kazemimood, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
National Provider Identifier
1699119867
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
U3102 Issued in TX
Practice address
6411 Fannin Street
Houston, TX 77030-1501
Phone
(713) 704-4000
Fax
(713) 704-2658
NPI assigned
Apr 18, 2013
Last updated
Aug 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 299988 NY
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 62541 TN
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X U3102 TX Primary

Addresses

Primary practice location

6411 Fannin Street
Houston, TX 77030-1501

Mailing address

6431 Fannin Street
MSB 2.136
Houston, TX 77030-1501
Phone (713) 500-5301

Other practice location 1

601 Elmwood Avenue
Univeristy of Rochester Medical Center
Rochester, NY 14642-0001
Phone (585) 273-4135

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
I20230605002953 TX Practitioner - Pathology 7315256500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5656 Kelley St
Houston, TX 77026-1967
Phone (713) 566-5100

6411 Fannin St
Houston, TX 77030-1501
Phone (713) 704-4000

6431 Fannin St
Houston, TX 77030-1501
Phone (713) 500-5301

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62541TNMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Health Science Center at Houston Anatomic Pathology & Clinical Pathology CurrentSince Jun 19, 2023 Accepting new patients
The University of Texas Health Science Center at Houston CurrentSince Jun 19, 2023 Accepting new patients
University Pathologists Past Accepting new patients

Locations

6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200

6431 Fannin St
#2136
Houston, TX 77030
Phone (713) 500-5301

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1699119867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 FANNIN STREET",
            "address_2": "MSB 2.136",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301501",
            "telephone_number": "713-500-5301",
            "fax_number": "713-500-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6411 FANNIN STREET",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301501",
            "telephone_number": "713-704-4000",
            "fax_number": "713-704-2658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Elmwood Avenue",
            "address_2": "Univeristy of Rochester Medical Center",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146420001",
            "country_code": "US",
            "telephone_number": "585-273-4135",
            "fax_number": "585-273-3637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAZEMIMOOD",
        "first_name": "ROSSANA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-18",
        "last_updated": "2023-08-22",
        "certification_date": "2023-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "299988",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "62541",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "U3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.