Individual provider Active NPI

Nima Goharkhay, MD, PHD

  • Maternal & Fetal Medicine Physician
  • Webster, TX
National Provider Identifier
1841359239
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
M1114 Issued in TX
Practice address
1411 Atlantis Dr Ste a
Webster, TX 77598-1637
Phone
(817) 070-9392
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X M1114 TX Primary
Obstetrics & Gynecology Physician 207V00000X M1114 TX

Addresses

Primary practice location

1411 Atlantis Dr Ste a
Webster, TX 77598-1637

Mailing address

PO Box 420
Friendswood, TX 77549-0420
Phone (281) 707-0939

Other identifiers 1

IdentifierTypeStateIssuer
175482202MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M1114TXMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nima Goharkhay, PLLC Maternal & Fetal Medicine CurrentSince Oct 9, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Utmb Faculty Group Practice Obstetrics & Gynecology Past Accepting new patients

Locations

2965 Harrison Ave
Ste 317
Beaumont, TX 77702
Phone (409) 554-0911

1140 Westmont Dr
Ste 415
Houston, TX 77015
Phone (713) 330-0296

17045 Saint Edwards Dr
Ste 300
Houston, TX 77090
Phone (281) 248-8872

4010 Vista Rd
Ste A
Pasadena, TX 77504
Phone (713) 947-1248

1411 Atlantis Dr
Ste A
Webster, TX 77598
Phone (281) 707-0939

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1841359239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 420",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775490420",
            "telephone_number": "281-707-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 ATLANTIS DR STE A",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775981637",
            "telephone_number": "817-070-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOHARKHAY",
        "first_name": "NIMA",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "M1114",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M1114",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175482202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.