NPIMap

Individual provider Active NPI

Syed M Zaidi, M.D.

  • Nephrology Physician
  • Conroe, TX
National Provider Identifier
1912090572
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
N1236 Issued in TX
Practice address
200 River Pointe Dr Ste 120
Conroe, TX 77304-2817
Phone
(936) 756-2555
Fax
(936) 756-2534
NPI assigned
Oct 2, 2006
Last updated
Dec 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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 39997 KY
Nephrology Physician 207RN0300X N1236 TX Primary

Addresses

Primary practice location

200 River Pointe Dr Ste 120
Conroe, TX 77304-2817

Mailing address

129 Vision Park Blvd Ste 109
Shenandoah, TX 77384-3024
Phone (936) 273-0836

Other practice location 1

17198 St. Lukes Way
Suite 430
The Woodlands, TX 77385
Phone (936) 756-2555

Other identifiers 6

IdentifierTypeStateIssuer
7100008150MedicaidKY
P00413670OtherINRAILROAD MEDICARE IND
P00408183OtherKYRAILROAD MEDICARE KY
01063002AOtherINMEDICAL LICENSE
39997OtherKYMEDICAL LICENSE
200879190MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091124000134 TX Practitioner - NephrologyPractitioner - Internal Medicine 1759485865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney Specialists of North HoustonGroup PAC ID 8022202738, 8 clinicians

Practice addresses (Care Compare)

129 Vision Park Blvd
Suite 109
Shenandoah, TX 77384-3024
Phone (936) 273-0836

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
96.15
Promoting interoperability
93
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Houston Kidney Specialist LLC Nephrology Current Accepting new patients
Kidney Specialists of North Houston Nephrology CurrentSince Jan 1, 2021 Accepting new patients
Louisville Inpatient Physician Services, PLLC Internal Medicine PastSince Nov 17, 2019 Accepting new patients
Spring Creek Urology Specialists LLC Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Conroe-Woodlands Gastroenterology, P.a. PastSince Dec 27, 2020 Accepting new patients

Locations

500 Medical Center Blvd
Ste 280
Conroe, TX 77304

129 Vision Park Blvd
Ste 109
Shenandoah, TX 77384
Phone (936) 321-2063

9449 Grogans Mill Rd
The Woodlands, TX 77380
Phone (281) 363-1262

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19285/brand/4/csg/1/fhir/r4
  • Direct secure messaging: syed.zaidi.1@19285.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1912090572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 VISION PARK BLVD STE 109",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843024",
            "telephone_number": "936-273-0836",
            "fax_number": "936-321-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RIVER POINTE DR STE 120",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042817",
            "telephone_number": "936-756-2555",
            "fax_number": "936-756-2534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17198 St. Lukes Way",
            "address_2": "Suite 430",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "77385",
            "country_code": "US",
            "telephone_number": "936-756-2555",
            "fax_number": "936-756-2534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAIDI",
        "first_name": "SYED",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "39997",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "N1236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100008150",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE IND",
            "identifier": "P00413670",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE KY",
            "identifier": "P00408183",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "01063002A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "39997",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200879190",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.