Individual provider Active NPI

Tayyab Mohyuddin, MD

  • Cardiovascular Disease Physician
  • Tomball, TX
National Provider Identifier
1861443616
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
N1780 Issued in TX
Practice address
308 Holderrieth Blvd
Tomball, TX 77375-4536
Phone
(281) 351-4911
Fax
(281) 351-4915
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N1780 TX
Cardiovascular Disease Physician 207RC0000X N1780 TX Primary

Addresses

Primary practice location

308 Holderrieth Blvd
Tomball, TX 77375-4536

Mailing address

308 Holderrieth Blvd
Tomball, TX 77375-4536
Phone (281) 351-4911

Other identifiers 2

IdentifierTypeStateIssuer
008806261IOtherHUMANA
34662500MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090806000427 TX Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 9234160052 Reassigns benefits to 1 organization
I20240710004880 NE Practitioner - Interventional Cardiology 9234160052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHI Health Clinic Specialty LLCGroup PAC ID 4789098443, 317 clinicians

Practice addresses (Care Compare)

10 E 31St St
CHI Health Good Samaritan
Kearney, NE 68847-2908
Phone (308) 865-7100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.47 of 100Reported as group
Quality
77.88
Promoting interoperability
99
Improvement activities
40
Cost
70.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N1780TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Val Verde Hospital Corporation Current Accepting new patients
Val Verde Hospital Corporation Cardiovascular Disease CurrentSince Aug 19, 2023 Accepting new patients
CHI Health Clinic Specialty, LLC CurrentSince Jul 15, 2024 Accepting new patients
Val Verde Hospital Corporation CurrentSince Aug 19, 2023 Accepting new patients
Northwest Houston Heart Center, P.a. Cardiovascular Disease Past Accepting new patients
SPMG Signature Pampa Medical Group Internal Medicine PastSince May 31, 2024 Accepting new patients

Locations

10 E 31st St
Kearney, NE 68847
Phone (308) 234-5520

3219 Central Ave
Ste 201
Kearney, NE 68847
Phone (308) 865-7271

7440 S 91st St
Lincoln, NE 68526
Phone (402) 489-6554

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

801 N Bedell Ave
Del Rio, TX 78840
Phone (830) 703-1702

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHBEAA

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1861443616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 HOLDERRIETH BLVD",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754536",
            "telephone_number": "281-351-4911",
            "fax_number": "281-351-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 HOLDERRIETH BLVD",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754536",
            "telephone_number": "281-351-4911",
            "fax_number": "281-351-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHYUDDIN",
        "first_name": "TAYYAB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N1780",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "N1780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "008806261I",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34662500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.