Active NPI
Kanza Soomro, DO
- Internal Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- T4680
- Practice address
- 12121 Richmond Ave Ste 212
Houston, TX 77082-2422 - Phone
- (816) 167-2992
- Fax
- (281) 223-1011
- NPI assigned
- Feb 16, 2017
- Last updated
- Apr 21, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS15728 | FL | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | T4680 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | T4680 | TX | Primary |
Addresses
Primary practice location
12121 Richmond Ave Ste 212
Houston, TX 77082-2422
Mailing address
1643 NW 136 Ave
BLDG. H Ste. 100
Sunrise, FL 33323-2857
Other practice location 1
7206 Wild Violet Dr
Humble, TX 77346-2025
Phone (281) 616-7299
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12121 Richmond Ave
Suite 212
Houston, TX 77082-2422
Phone (956) 975-5152
310 E Lawrence St
Dayton, TX 77535-1805
Phone (936) 258-7227
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CS Pacs 3 Southwest, LLC | Internal Medicine | Current | Accepting new patients |
| Ipc Pac Healthcare Services of Texas PLLC | Internal Medicine | Current | Accepting new patients |
| Faiz Javed DO PLLC | Geriatric Medicine | Current | Accepting new patients |
| NV Pacs 2 LLC | Current | Accepting new patients | |
| Lonestar Hospital Medicine Associates, PA | Internal Medicine | Current | Accepting new patients |
| Fpacp Humble LLC | Past | Accepting new patients | |
| South Limestone Hospital District | Past | Accepting new patients |
Locations
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088
901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382
3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950
310 E Lawrence St
Dayton, TX 77535
Phone (936) 258-7227
5400 Clearfork Main St
Fort Worth, TX 76109
Phone (817) 433-7000
201 Sycamore School Rd
#R
Fort Worth, TX 76134
Phone (817) 293-7610
6301 Oakmont Blvd
Ft Worth, TX 76132
Phone (682) 250-4055
415 Indian Oaks Dr
Harker Hts, TX 76548
Phone (254) 699-5051
721 W Mulberry St
Holiday Lakes, TX 77515
Phone (979) 848-0279
12121 Richmond Ave
Ste 212
Houston, TX 77082
Phone (281) 759-2273
3625 Green Crest Dr
Houston, TX 77082
Phone (281) 558-1166
13500 Breton Ridge St
Houston, TX 77070
Phone (281) 807-4744
2101 W Northgate Dr
Irving, TX 75062
Phone (972) 255-4460
208 S Utah St
La Porte, TX 77571
Phone (281) 471-1810
413 Garland Dr
Lake Jackson, TX 77566
Phone (979) 297-3266
2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000
811 Garner Rd
Pasadena, TX 77502
Phone (713) 473-8573
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
6211 S New Braunfels Ave
#T
San Antonio, TX 78223
Phone (210) 531-0569
424 Tarpey Rd
#C
Texas City, TX 77591
Phone (409) 938-8431
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Focused Care at Humble | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Mar 30, 2022 Mar 30, 2022 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Focused Care at Humble
- Skilled Nursing Facility
- Humble, TX
- NPI 1609312024
Adp of the SNF, Operational/Managerial Control
Organizations & group practices 7
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.
-
- Hospitalist Physician
- Addison, TX
- NPI 1194174201
Internal Medicine
-
- Hospitalist Physician
- Mansfield, TX
- NPI 1518237429
Internal Medicine
-
dba Terra Bella Health and Wellness Suites
- Skilled Nursing Facility
- Houston, TX
- NPI 1457126062
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bayou Manor
- Nursing Facility/Intermediate Care Facility
- Houston, TX
- NPI 1679690937
Nursing home
-
dba Valor Hospice
- Community Based Hospice Care Agency
- Fort Worth, TX
- NPI 1972039949
-
dba Terra Bella Health and Wellness Suites
- Skilled Nursing Facility
- Houston, TX
- NPI 1457126062
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745193600000",
"number": "1770022279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1643 NW 136 AVE",
"address_2": "BLDG. H STE. 100",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12121 RICHMOND AVE STE 212",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770822422",
"telephone_number": "816-167-2992",
"fax_number": "281-223-1011"
}
],
"practiceLocations": [
{
"address_1": "7206 Wild Violet Dr",
"address_purpose": "LOCATION",
"city": "Humble",
"state": "TX",
"postal_code": "773462025",
"country_code": "US",
"telephone_number": "281-616-7299",
"fax_number": "281-223-1011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOOMRO",
"first_name": "KANZA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-16",
"last_updated": "2025-04-21",
"certification_date": "2025-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS15728",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "TX",
"license": "T4680",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "T4680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Gagan Kumar Sood, MBBS
- Soofi Institute of Infectious Diseases & Travel Medicine, PA.
- Soofi Institute of Infectious Diseases & Wound Management PLLC
- Danielle Sookoor, PA
- Endra Wilhelm Sookoor, D.O.
- Tacara N Soones, MD
- Naila Yunus Soorty, MD
- Soothing Place Transport Services
- Charles N Soparkar, M.D., PH.D
- Soper Brothers, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.