Organization Active NPI

ZN Healthcare Services, PLLC

Doing business as Broadway Family Clinic

  • Family Medicine Physician
  • Pearland, TX
National Provider Identifier
1821604000
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ZN HEALTHCARE SERVICES, PLLC
Doing business as
Broadway Family Clinic
Practice address
2405 Barton Shore Dr
Pearland, TX 77584-3952
Phone
(832) 462-9574
NPI assigned
Sep 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Authorized official

Name
Kashif Ahmed SiddiquiNPI 1154636561
Title
Owner
Phone
(832) 462-9574

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X

Addresses

Primary practice location

2405 Barton Shore Dr
Pearland, TX 77584-3952

Mailing address

2405 Barton Shore Dr
Pearland, TX 77584-3952
Phone (832) 462-9574

Other identifiers 1

IdentifierTypeStateIssuer
P2788OtherTXLICENSE

Other names 1

  • Broadway Family Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210330000166 TX Part B Supplier - Clinic/Group Practice 7719394295 Receives reassigned benefits from 2 practitioners
Practice locations: Pearland, TX

National Provider Directory

National Provider Directory

Locations

3129 Kingsley Dr
Ste 340
Pearland, TX 77584
Phone (346) 209-0885

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": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1821604000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 BARTON SHORE DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843952",
            "telephone_number": "832-462-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 BARTON SHORE DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843952",
            "telephone_number": "832-462-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZN HEALTHCARE SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "KASHIF",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-462-9574"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "P2788",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Broadway Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.