Organization Active NPI

Ma Medical Care PLLC

  • Family Medicine Physician
  • Richmond, TX
National Provider Identifier
1881049880
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MA MEDICAL CARE PLLC
Practice address
7510 Lavaerton Wood LN
Richmond, TX 77407-3186
Phone
(281) 691-5717
Fax
(866) 717-6261
NPI assigned
Apr 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Authorized official

Name
Dr. Moiz Ahmed, MDNPI 1932359452
Title
Ceo
Phone
(281) 691-5717

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 1

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

Addresses

Primary practice location

7510 Lavaerton Wood LN
Richmond, TX 77407-3186

Mailing address

7510 Lavaerton Wood LN
Richmond, TX 77407-3186
Phone (281) 691-5717

Other names 1

  • Grand Medical Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160804000464 TX Part B Supplier - Clinic/Group Practice 6305130980 Receives reassigned benefits from 3 practitioners
Practice locations: Katy, TX

National Provider Directory

National Provider Directory

Locations

2840 Commercial Center Blvd
Katy, TX 77494
Phone (281) 691-5717

Practitioners & affiliated clinicians

Practitioners 3

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": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1881049880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7510 LAVAERTON WOOD LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774073186",
            "telephone_number": "281-691-5717",
            "fax_number": "866-717-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7510 LAVAERTON WOOD LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774073186",
            "telephone_number": "281-691-5717",
            "fax_number": "866-717-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MA MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MOIZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-691-5717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.