Individual provider Active NPI

Evelyn Olayinka Kassim

  • Obstetrics & Gynecology Physician
  • Houston, TX
National Provider Identifier
1780213538
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
W1177 Issued in TX
Practice address
1631 North Loop W Ste 220
Houston, TX 77008-1530
Phone
(850) 644-1855
NPI assigned
Apr 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X W1177 TX Primary

Addresses

Primary practice location

1631 North Loop W Ste 220
Houston, TX 77008-1530

Mailing address

1631 North Loop W Ste 220
Houston, TX 77008-1530

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
I20260130001617 TX Practitioner - Obstetrics/Gynecology 4385122415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Florida State University College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

1445 N Loop W
Suite 720
Houston, TX 77008-1528
Phone (713) 861-7500

1631 N Loop
Suite 300
Houston, TX 77008-1528
Phone (713) 343-1080

6410 Fannin St
Houston, TX 77030-3005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
W1177TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Obstetrics & Gynecology CurrentSince Dec 31, 2025 Accepting new patients
Ut Physicians CurrentSince Dec 31, 2025 Accepting new patients
Florida Medical Practice Plan Inc CurrentSince Apr 5, 2020 Accepting new patients

Locations

1115 W Call St
Tallahassee, FL 32304
Phone (850) 644-1543

1631 North Loop W
Ste 220
Houston, TX 77008
Phone (713) 365-0786

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

1631 North Loop W
Houston, TX 77008
Phone (713) 343-1080

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": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1780213538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 NORTH LOOP W STE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 NORTH LOOP W STE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081530",
            "telephone_number": "850-644-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSIM",
        "first_name": "EVELYN",
        "middle_name": "OLAYINKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "W1177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.