Individual provider Active NPI

Mohamad Anis Sidani, MD, MS

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1821019845
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q2065 Issued in TX
Practice address
3701 Kirby Dr Ste 100
Houston, TX 77098-3921
Phone
(713) 798-7700
NPI assigned
Jul 23, 2006
Last updated
Dec 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 41790 TN
Family Medicine Physician 207Q00000X Q2065 TX Primary

Addresses

Primary practice location

3701 Kirby Dr Ste 100
Houston, TX 77098-3921

Mailing address

3701 Kirby Dr Ste 600
Houston, TX 77098-3926
Phone (713) 798-7700

Other practice location 1

MMC Medical Shool Family & Community Medicine Departme
1005 Dr. D. B. Todd Jr. Blvd.
Nashville, TN 37208-3599
Phone (615) 327-5817

Other identifiers 1

IdentifierTypeStateIssuer
3335750MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address msidani14115@bcm.ghhdirect.net

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
I20141120001795 TX Practitioner - Family PracticePractitioner - Geriatric Medicine 7618079559 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baylor College of MedicineGroup PAC ID 8224941265, 796 clinicians
Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians

Practice addresses (Care Compare)

1504 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-2000

7200 Cambridge St
Suite 1
Houston, TX 77030-4202
Phone (713) 798-2500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41790TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine Family Medicine CurrentSince Nov 1, 2014 Accepting new patients
Baylor College of Medicine CurrentSince Nov 1, 2014 Accepting new patients
Baylor College of Medicine Family Medicine CurrentSince Nov 1, 2014 Accepting new patients
Baylor College of Medicine CurrentSince Nov 1, 2014 Accepting new patients
Harris County Hospital District Past Accepting new patients
NP Care of Tennessee, LLC Family Medicine Past Accepting new patients

Locations

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

3701 Kirby Dr
Ste 100
Houston, TX 77098
Phone (713) 798-4321

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

3701 Kirby Dr
Ste 600
Houston, TX 77098
Phone (713) 798-0114

3743 Westheimer Rd
Ste A
Houston, TX 77027
Phone (713) 798-1746

Organizations & group practices 6

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 2

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": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1821019845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 KIRBY DR STE 600",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983926",
            "telephone_number": "713-798-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 KIRBY DR STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983921",
            "telephone_number": "713-798-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "MMC Medical Shool Family & Community Medicine Departme",
            "address_2": "1005 Dr. D. B. Todd Jr. Blvd.",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372083599",
            "country_code": "US",
            "telephone_number": "615-327-5817",
            "fax_number": "615-327-5634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDANI",
        "first_name": "MOHAMAD",
        "middle_name": "ANIS",
        "name_prefix": "Dr.",
        "credential": "MD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "41790",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q2065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3335750",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msidani14115@bcm.ghhdirect.net",
            "affiliation": "N",
            "address_1": "3701 Kirby Dr Ste 100",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770983921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.