Individual provider Active NPI

Farah Amlani Poonawala, D.O.

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1750736781
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
BP10056552 Issued in TX
Practice address
13311 Hargrave Rd Ste 120B
Houston, TX 77070-4559
Phone
(281) 890-6800
Fax
(281) 890-6865
NPI assigned
Apr 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X BP10056552 TX Primary

Addresses

Primary practice location

13311 Hargrave Rd Ste 120B
Houston, TX 77070-4559

Mailing address

PO Box 73105
Houston, TX 77273-3105
Phone (281) 890-6800

Other names 1

  • Farah Amlani Poonawala Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10056552TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Internal Medicine Specialists PLLC PastSince Aug 25, 2019 Accepting new patients
Northwest Urgent Care PastSince Aug 25, 2019 Accepting new patients
Northwoods Pediatric Center, PA Pediatrics Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEEDAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/DHEADA

Organizations & group practices 3

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": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1750736781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772733105",
            "telephone_number": "281-890-6800",
            "fax_number": "281-890-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13311 HARGRAVE RD STE 120B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704559",
            "telephone_number": "281-890-6800",
            "fax_number": "281-890-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POONAWALA",
        "first_name": "FARAH",
        "middle_name": "AMLANI",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-27",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "BP10056552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FARAH",
            "last_name": "POONAWALA",
            "middle_name": "AMLANI",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.