Individual provider Active NPI

Leila G. Vizirov, M.D.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1770571895
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L6699 Issued in TX
Practice address
1919 North Loop W Ste 310
Houston, TX 77008-1301
Phone
(713) 869-4404
Fax
(713) 869-4415
NPI assigned
Oct 12, 2005
Last updated
Aug 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L6699 TX Primary

Addresses

Primary practice location

1919 North Loop W Ste 310
Houston, TX 77008-1301

Mailing address

1919 North Loop W Ste 310
Houston, TX 77008-1301
Phone (713) 869-4404

Other identifiers 2

IdentifierTypeStateIssuer
164020302MedicaidTX
164020303MedicaidTX

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
I20040329001552 TX Practitioner - Family Practice 2062304462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

427 W 20TH St
Houston, TX 77008-2433
Phone (713) 869-4404

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L6699TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Leila G. Vizirov, M.D., P.a. Family Medicine CurrentSince Aug 11, 2004 Accepting new patients

Locations

201 Enterprise Row
Ste 12
Conroe, TX 77301
Phone (936) 760-2784

1631 North Loop W
Ste 480
Houston, TX 77008
Phone (281) 724-4717

1919 North Loop W
Ste 310
Houston, TX 77008
Phone (713) 869-4404

427 W 20th St
Ste 712
Houston, TX 77008
Phone (713) 802-1010

Organizations & group practices 1

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1770571895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 NORTH LOOP W STE 310",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081301",
            "telephone_number": "713-869-4404",
            "fax_number": "713-869-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 NORTH LOOP W STE 310",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081301",
            "telephone_number": "713-869-4404",
            "fax_number": "713-869-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIZIROV",
        "first_name": "LEILA",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L6699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164020302",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164020303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.