Individual provider Active NPI

Mazhar Khowaja

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1770523276
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301069118 Issued in MI
Practice address
10777 Stella Link Rd
Houston, TX 77025-5639
Phone
(713) 592-9292
Fax
(713) 592-9296
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301069118 MI Primary

Addresses

Primary practice location

10777 Stella Link Rd
Houston, TX 77025-5639

Mailing address

10777 Stella Link Rd
Houston, TX 77025-5639
Phone (713) 592-9292

Other identifiers 2

IdentifierTypeStateIssuer
470011410OtherMIMEDICAID
0823651OtherMIBCBS

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
I20100908000112 TX Practitioner - Psychiatry 3173509858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Med Management AssociatesGroup PAC ID 7810299187, 35 clinicians

Practice addresses (Care Compare)

4006 Vista Rd
Pasadena, TX 77504-2112
Phone (888) 365-6271

Merit-based Incentive Payment System (MIPS)

Final score
79.54 of 100Reported as group
Quality
72.94
Improvement activities
40
Cost
48.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301069118MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Med Management Associates Psychiatry CurrentSince Jun 1, 2020 Accepting new patients
Seniors Wellness Group of Michigan, P.C. Past Accepting new patients
Continuum Psychiatric Services, LLP Past Accepting new patients
Professional Counseling and Psychiatry Solutions, PLLC PastSince Oct 1, 2011 Accepting new patients
Geriatric Psychiatric Services PLLC Past Accepting new patients
Seniors Wellness Group, P.C. Past Accepting new patients
Senior Psychiatric Services of Mi, PLLC Psychiatry PastSince May 8, 2010 Accepting new patients
Behavioral Care Solutions for Adults and Seniors, Inc. Psychiatry Past Accepting new patients
Specialists in Psychiatric Pharmacology PLLC Psychiatry Past Accepting new patients

Locations

4006 Vista Rd
Pasadena, TX 77504
Phone (713) 943-1592

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

Organizations & group practices 9

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1770523276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10777 STELLA LINK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770255639",
            "telephone_number": "713-592-9292",
            "fax_number": "713-592-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10777 STELLA LINK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770255639",
            "telephone_number": "713-592-9292",
            "fax_number": "713-592-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOWAJA",
        "first_name": "MAZHAR",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301069118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "470011410",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0823651",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.