Organization Active NPI

Syed a Gardezi MD

  • Internal Medicine Physician
  • Richmond, TX
National Provider Identifier
1821152349
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M2955 Issued in TX
Legal business name
SYED A GARDEZI MD
Practice address
1628 Crabb River Rd Ste B
Richmond, TX 77469-5890
Phone
(281) 545-8090
Fax
(281) 545-8339
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Dr. Syed A Gardezi, M.DNPI 1689637464
Title
Owner
Phone
(281) 545-8090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X M2955 TX Primary

Addresses

Primary practice location

1628 Crabb River Rd Ste B
Richmond, TX 77469-5890

Mailing address

1628 Crabb River Rd Ste B
Richmond, TX 77469-5890
Phone (281) 545-8090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070206000473 TX Part B Supplier - Clinic/Group Practice 2860494770 Receives reassigned benefits from 2 practitioners
Practice locations: Richmond, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1101801Syed a Gardezi MD1628 Crabb River Rd Suite B, Richmond, TX 77469Certificate of waiverJun 4, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1821152349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 CRABB RIVER RD STE B",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774695890",
            "telephone_number": "281-545-8090",
            "fax_number": "281-545-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 CRABB RIVER RD STE B",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774695890",
            "telephone_number": "281-545-8090",
            "fax_number": "281-545-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYED A GARDEZI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "GARDEZI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-545-8090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M2955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.