Active NPI
Saifuddin Tahir, M.D.
- Pediatrics Physician
- Waller, TX
National Provider Identifier
1760447494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- K1940
- Practice address
- 31303 FM 2920 Rd
Suite G
Waller, TX 77484-8197 - Phone
- (936) 931-3448
- NPI assigned
- Apr 18, 2006
- Last updated
- May 24, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | K1940 | TX | Primary |
Addresses
Primary practice location
31303 FM 2920 Rd
Suite G
Waller, TX 77484-8197
Mailing address
PO Box 1176
Waller, TX 77484-1176
Phone (936) 931-3448
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127084501 | Medicaid | TX |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K1940 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Specialty Care Clinic | Pediatrics | Past | Accepting new patients |
| Childrens Specialty Care Clinic | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- stahir60213@memorialhermann.direct-ci.com
Organizations & group practices 6
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.
-
- Pediatrics Physician
- Houston, TX
- NPI 1407108657
-
- Pediatrics Physician
- Magnolia, TX
- NPI 1184669533
-
- Pediatrics Physician
- Waller, TX
- NPI 1790720647
-
- Pediatrics Physician
- Houston, TX
- NPI 1801199492
-
- Pediatrics Physician
- Houston, TX
- NPI 1912351974
-
- Allergy & Immunology Physician
- Cypress, TX
- NPI 1942236435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369353600000",
"number": "1760447494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1176",
"city": "WALLER",
"state": "TX",
"postal_code": "774841176",
"telephone_number": "936-931-3448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31303 FM 2920 RD",
"address_2": "SUITE G",
"city": "WALLER",
"state": "TX",
"postal_code": "774848197",
"telephone_number": "936-931-3448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAHIR",
"first_name": "SAIFUDDIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2013-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "K1940",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127084501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.