Individual provider Active NPI

Mohamed M Abdelmoula, MD

  • Family Medicine Physician
  • Katy, TX
National Provider Identifier
1720249105
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P0328 Issued in TX
Practice address
1836 Snake River Rd
Ste C
Katy, TX 77449-7753
Phone
(281) 578-9000
Fax
(281) 578-9004
NPI assigned
Jun 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P0328 TX Primary

Addresses

Primary practice location

1836 Snake River Rd
Ste C
Katy, TX 77449-7753

Mailing address

1836 Snake River Rd
Ste C
Katy, TX 77449-7753
Phone (832) 205-2080

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
I20111109000494 TX Practitioner - Family Practice 6305019258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1836 Snake River Rd C
Katy, TX 77449-7753

Hospital & facility affiliations

  • Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P0328TXMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: mohamed.abdelmoula@alcl.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EFFDCA/Endpoint/EFFDCA

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 and National Provider Directory roles.

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": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1720249105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SNAKE RIVER RD",
            "address_2": "STE C",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774497753",
            "telephone_number": "832-205-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 SNAKE RIVER RD",
            "address_2": "STE C",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774497753",
            "telephone_number": "281-578-9000",
            "fax_number": "281-578-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELMOULA",
        "first_name": "MOHAMED",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P0328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.