Northwest Colon & Rectal Surgery, P.a.

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

M1012 Issued in TX

Legal business name

NORTHWEST COLON & RECTAL SURGERY, P.A.

Practice address

1125 Cypress Station Dr Ste G-3
Houston, TX 77090-3055

Phone

(281) 583-1300

Fax

(832) 516-6184

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Khawaja Azimuddin, M.D.NPI 1811946478

Title

Medical Director

Phone

(281) 583-1300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khawaja Azimuddin, M.D.

  • Surgery Physician
  • Houston, TX
  • NPI 1811946478
  Medicare reassignment Care Compare group NPD Authorized official
• Jean A. Knapps, M.D.

  • Colon & Rectal Surgery Physician
  • Houston, TX
  • NPI 1851559728
  Medicare reassignment Care Compare group NPD
• Tal R Raphaeli, MD

  • Colon & Rectal Surgery Physician
  • Houston, TX
  • NPI 1609910009
  Medicare reassignment Care Compare group NPD
• Junuk Kim, MD

  • Surgery Physician
  • Shenandoah, TX
  • NPI 1497917553
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1740200203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540088",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772540088",
            "telephone_number": "713-850-1190",
            "fax_number": "832-516-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 CYPRESS STATION DR STE G-3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903055",
            "telephone_number": "281-583-1300",
            "fax_number": "832-516-6184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST COLON & RECTAL SURGERY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "AZIMUDDIN",
        "authorized_official_first_name": "KHAWAJA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "281-583-1300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "M1012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Anesthesiology and Pain Associates, PLLC
• Northwest Assistance Ministries
• Northwest Cardiovascular Clinic, PA
• Northwest Chiropractic Center
• Northwest Clinic
• Northwest Community Health Clinic
• Northwest Dental Care PLLC
• Northwest Dialyis Center,LLC
• Northwest Dialysis Center, LLC
• Northwest Emergency Surgery Call Group PLLC

• Colon & Rectal Surgery Physician in Houston, TX
• Providers in Houston, TX by specialty
• Colon & Rectal Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.