Individual provider Active NPI

Zohra Kassam Ali Khoja, FNP

  • Family Nurse Practitioner
  • Webster, TX
National Provider Identifier
1881369890
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1036009 Issued in TX
Practice address
17500 Highway 3 Ste B
Webster, TX 77598-4153
Phone
(281) 338-2098
Fax
(281) 557-4369
NPI assigned
Aug 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1036009 TX Primary

Addresses

Primary practice location

17500 Highway 3 Ste B
Webster, TX 77598-4153

Mailing address

1232 Abigail LN
Friendswood, TX 77546-3976
Phone (832) 526-7846

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260515003915 TX Practitioner - Nurse Practitioner 5597234740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

115 E Ogden Ave
Naperville, IL 60563-3103

1240 Clear Lake City Blvd
Suite 200
Houston, TX 77062-2102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1036009TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Clinic of Laporte PastSince Aug 1, 2021 Accepting new patients

Interoperability endpoints

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1881369890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 ABIGAIL LN",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463976",
            "telephone_number": "832-526-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 HIGHWAY 3 STE B",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984153",
            "telephone_number": "281-338-2098",
            "fax_number": "281-557-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOJA",
        "first_name": "ZOHRA",
        "middle_name": "KASSAM ALI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1036009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.