Organization Active NPI

M Radwan Al-Sabbagh MD PA

  • Gastroenterology Physician
  • Houston, TX
National Provider Identifier
1700809639
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
M RADWAN AL-SABBAGH MD PA
Practice address
6410 Fannin
1260
Houston, TX 77030
Phone
(713) 850-1190
Fax
(713) 850-1327
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Authorized official

Name
Radwan Al-Sabbagh, MD
Title
Director
Phone
(718) 850-1190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

6410 Fannin
1260
Houston, TX 77030

Mailing address

P.O. Box 1349 Dept 01
Houston, TX 77251
Phone (713) 850-1190

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100326000101 TX Part B Supplier - Clinic/Group Practice 0345375846 Receives reassigned benefits from 1 practitioner
Practice locations: Kingwood, TX; Humble, TX; Houston, TX; Cleveland, TX

National Provider Directory

National Provider Directory

Locations

309 E Crockett St
Ste B
Cleveland, TX 77327
Phone (281) 432-1100

6410 Fannin St
Ste 1260
Houston, TX 77030
Phone (713) 704-3386

1140 Business Center Dr
Ste 380
Houston, TX 77043
Phone (713) 467-1750

1475 FM 1960 Bypass Rd E
Ste E
Humble, TX 77338

Practitioners & affiliated clinicians

Practitioners 7

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": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1700809639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1349 DEPT 01",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77251",
            "telephone_number": "713-850-1190",
            "fax_number": "713-850-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 FANNIN",
            "address_2": "1260",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-850-1190",
            "fax_number": "713-850-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M RADWAN AL-SABBAGH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "AL-SABBAGH",
        "authorized_official_first_name": "RADWAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-850-1190",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "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 May 11, 2023; 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.