Individual provider Active NPI

Kamal F Busaidy, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Houston, TX
National Provider Identifier
1780613901
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
21053 Issued in TX
Practice address
6550 Fannin St
2237
Houston, TX 77030-2717
Phone
(713) 790-4600
NPI assigned
Jul 1, 2006
Last updated
Jul 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 21053 TX Primary

Addresses

Primary practice location

6550 Fannin St
2237
Houston, TX 77030-2717

Mailing address

PO Box 301173
Dallas, TX 75303-1173
Phone (713) 500-3500

Other identifiers 2

IdentifierTypeStateIssuer
167586001MedicaidTX
88D755OtherTXBCBS

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
I20040729000713 TX Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 5395715072 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
Other, 1992
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)

6410 Fannin St
Houston, TX 77030-3005

6411 Fannin St
Houston, TX 77030-1501
Phone (713) 704-0093

6431 Fannin St
MSB2.100
Houston, TX 77030-1501
Phone (713) 500-7700

6565 Fannin St
Houston, TX 77030-2707
Phone (713) 790-3311

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21053TXMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Mar 1, 2012 Accepting new patients
Harris County Hospital District CurrentSince Nov 6, 2023 Accepting new patients
Ut Physicians CurrentSince Mar 1, 2012 Accepting new patients
Harris County Hospital District Oral and Maxillofacial Surgery Current Accepting new patients
Harris County Hospital District Oral and Maxillofacial Surgery CurrentSince Nov 6, 2023 Accepting new patients
Shriners Hospitals for Children CurrentSince Mar 14, 2016 Accepting new patients
Shriners Hospitals for Children CurrentSince Mar 14, 2016 Accepting new patients
Donald F. Cohen D.D.S., Inc. Oral and Maxillofacial Surgery PastSince Jul 7, 2016 Accepting new patients
Oral and Facial Surgery Institute PA Oral and Maxillofacial Surgery Past Accepting new patients

Locations

815 Market St
Galveston, TX 77550
Phone (409) 770-6600

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

2118 Washington Ave
Houston, TX 77007
Phone (713) 869-3551

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

6550 Fannin St
Ste 2237
Houston, TX 77030
Phone (713) 790-4600

6977 Main St
Houston, TX 77030
Phone (713) 793-3700

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Interoperability endpoints

  • Direct secure messaging: kbusaidy12757@direct.uth.org
  • Direct secure messaging: kbusaidy35538@directhoustonmethodist.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469750400000",
    "number": "1780613901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301173",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753031173",
            "telephone_number": "713-500-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST",
            "address_2": "2237",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302717",
            "telephone_number": "713-790-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSAIDY",
        "first_name": "KAMAL",
        "middle_name": "F",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2016-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "21053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167586001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "88D755",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.