Individual provider Active NPI

Noor Yazdanie, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Katy, TX
National Provider Identifier
1710378310
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
Q9095 Issued in TX
Practice address
26077 Nelson Way Ste 1201
Katy, TX 77494-6698
Phone
(832) 437-6531
NPI assigned
Feb 18, 2015
Last updated
Jan 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Q9095 TX
Endocrinology, Diabetes & Metabolism Physician 207RE0101X Q9095 TX Primary

Addresses

Primary practice location

26077 Nelson Way Ste 1201
Katy, TX 77494-6698

Mailing address

26077 Nelson Way Ste 1201
Katy, TX 77494-6698
Phone (832) 437-6531

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
I20160729001032 TX Practitioner - Internal Medicine 5496048357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Katy Diabetes and Endocrinology PLLCGroup PAC ID 8022473776, 2 clinicians

Practice addresses (Care Compare)

26077 Nelson Way
Suite 1201
Katy, TX 77494-6698
Phone (832) 437-6531

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q9095TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Katy Diabetes and Endocrinology PLLC Endocrinology, Diabetes & Metabolism CurrentSince Jan 3, 2023 Accepting new patients

Locations

26077 Nelson Way
Ste 1201
Katy, TX 77494
Phone (832) 437-6531

Organizations & group practices 1

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 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": "1424217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1710378310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26077 NELSON WAY STE 1201",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946698",
            "telephone_number": "832-437-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26077 NELSON WAY STE 1201",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946698",
            "telephone_number": "832-437-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAZDANIE",
        "first_name": "NOOR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q9095",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "Q9095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.