Active NPI
Maryam Seyedain, MD
- Gastroenterology Physician
- Houston, TX
National Provider Identifier
1871864843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- J5123
- Practice address
- 1425 Nantucket Dr.
#C
Houston, TX 77057 - Phone
- (713) 494-8402
- Fax
- (713) 977-8402
- NPI assigned
- Jan 23, 2012
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | J5123 | TX | |
| Gastroenterology Physician | 207RG0100X | J5123 | TX | Primary |
Addresses
Primary practice location
1425 Nantucket Dr.
#C
Houston, TX 77057
Mailing address
1425 Nantucket Dr.
#C
Houston, TX 77057
Phone (713) 494-8402
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40152024 | Other | TX | DPS |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J5123 | TX | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Internal Medicine | Past | Accepting new patients |
| Ut Physicians | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1871864843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 NANTUCKET DR.",
"address_2": "#C",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77057",
"telephone_number": "713-494-8402",
"fax_number": "713-977-8402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 NANTUCKET DR.",
"address_2": "#C",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77057",
"telephone_number": "713-494-8402",
"fax_number": "713-977-8402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEYEDAIN",
"first_name": "MARYAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-23",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "J5123",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "J5123",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPS",
"identifier": "40152024",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.