Individual provider Active NPI

Katayoun Khodabakhshian, APRN

  • Gerontology Nurse Practitioner
  • Houston, TX
National Provider Identifier
1710645197
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1059432 Issued in TX
Practice address
915 Gessner Rd Ste 900
Houston, TX 77024-2577
Phone
(713) 464-6006
NPI assigned
Dec 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1059432 TX
Gerontology Nurse Practitioner 363LG0600X 1059432 TX Primary

Addresses

Primary practice location

915 Gessner Rd Ste 900
Houston, TX 77024-2577

Mailing address

7600 Beechnut St
Houston, TX 77074-4302
Phone (713) 456-5470

Other practice location 1

7600 Beechnut St
Houston, TX 77074-4302
Phone (713) 456-5470

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220418000128 TX Practitioner - Nurse Practitioner 7416343603 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Cardiovascular Assoc PAGroup PAC ID 7911992151, 82 clinicians

Practice addresses (Care Compare)

915 Gessner Rd
Suite 900
Houston, TX 77024-2577
Phone (713) 464-6006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1059432TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Cardiovascular Assoc PA CurrentSince Feb 1, 2025 Accepting new patients
Houston Cardiovascular Assoc PA Acute Care CurrentSince Feb 1, 2025 Accepting new patients
Memorial City Cardiology Associates PA CurrentSince Nov 1, 2024 Accepting new patients
Memorial City Cardiology Associates PA CurrentSince Nov 1, 2024 Accepting new patients

Locations

341 Cool Springs Blvd
Ste 305
Franklin, TN 37067
Phone (972) 391-1915

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

18400 Katy Fwy
Ste 670
Houston, TX 77094
Phone (281) 398-4944

915 Gessner Rd
Ste 900
Houston, TX 77024
Phone (713) 464-0762

18400 Katy Fwy
Ste 620
Houston, TX 77094
Phone (281) 398-4944

1631 North Loop W
Ste 520
Houston, TX 77008
Phone (713) 861-2424

6441 Main St
Houston, TX 77030
Phone (713) 790-0500

1331 W Grand Pkwy N
Ste 13
Katy, TX 77493
Phone (281) 392-3401

Interoperability endpoints

  • Direct secure messaging: katayoun.khodabakhshian@ushv.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1710645197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 BEECHNUT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770744302",
            "telephone_number": "713-456-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 GESSNER RD STE 900",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242577",
            "telephone_number": "713-464-6006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 Beechnut St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770744302",
            "country_code": "US",
            "telephone_number": "713-456-5470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHODABAKHSHIAN",
        "first_name": "KATAYOUN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1059432",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1059432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.