Individual provider Active NPI

Mohammad Zare-Mehrjerdi, M.D.

  • Family Medicine Physician
  • Baytown, TX
National Provider Identifier
1831120047
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K2633 Issued in TX
Practice address
1602 Garth Rd
Baytown, TX 77520-2410
Phone
(281) 837-2700
Fax
(281) 837-2760
NPI assigned
Jul 5, 2006
Last updated
Feb 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K2633 TX Primary

Addresses

Primary practice location

1602 Garth Rd
Baytown, TX 77520-2410

Mailing address

1602 Garth Rd
Baytown, TX 77520-2410
Phone (281) 837-2700

Other identifiers 2

IdentifierTypeStateIssuer
125217304MedicaidTX
86650JOtherTXBCBS

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
I20100623000294 TX Practitioner - Family Practice 4688705403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
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)

1602 Garth Rd
Baytown, TX 77520-2410
Phone (281) 837-2700

6410 Fannin St
Houston, TX 77030-3005

818 Ringold St
Houston, TX 77088-6368
Phone (281) 448-6391

Hospital & facility affiliations

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K2633TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Family Medicine CurrentSince Apr 2, 2012 Accepting new patients
Ut Physicians CurrentSince Apr 2, 2012 Accepting new patients
Harris County Hospital District Past Accepting new patients

Locations

1602 Garth Rd
Beach City, TX 77520
Phone (281) 837-2700

5656 Kelley St
Houston, TX 77026
Phone (713) 566-5000

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

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

Hospital & facility affiliations 1

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1831120047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775202410",
            "telephone_number": "281-837-2700",
            "fax_number": "281-837-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775202410",
            "telephone_number": "281-837-2700",
            "fax_number": "281-837-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARE-MEHRJERDI",
        "first_name": "MOHAMMAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K2633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125217304",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "86650J",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.