Mansur Ismail Nathoo, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G1969 Issued in TX

Practice address

1300 Bay Area Blvd
B150-12
Houston, TX 77058-2505

Phone

(281) 338-2290

Fax

(281) 338-6728

NPI assigned

Dec 15, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Dr. Jamil a. Memon PA

  • Internal Medicine Physician
  • Webster, TX
  • NPI 1578787768
  NPD (past)

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1881670404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15414 PINENUT BAY CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770593297",
            "telephone_number": "281-338-2290",
            "fax_number": "281-338-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BAY AREA BLVD",
            "address_2": "B150-12",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582505",
            "telephone_number": "281-338-2290",
            "fax_number": "281-338-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHOO",
        "first_name": "MANSUR",
        "middle_name": "ISMAIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G1969",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "G1969",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00SJ65",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10016466",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133459102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133459105",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060002186",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sriram S Nathan, M.D.
• Stuart Joel Nathan, PH.D.
• Muhammed Gulzar Nathani, MD
• Zahra Nathani, OD
• Nathaniel G Tippit III DDS Inc
• National Anesthesia Providers, PLLC
• National Brain Injury Institute, PLLC
• National Counseling Center
• National Dental Care PLLC
• National Durable Medical Equipment

• Internal Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.