Individual provider Active NPI

Enas H. Kaseb, M.D.

  • Family Medicine Physician
  • Pearland, TX
National Provider Identifier
1912126913
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M9397 Issued in TX
Practice address
3569 Business Center Dr Ste 160
Pearland, TX 77584-1914
Phone
(855) 877-5977
Fax
(832) 603-4755
NPI assigned
Apr 25, 2007
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301082355 MI
Family Medicine Physician 207Q00000X M9397 TX Primary

Addresses

Primary practice location

3569 Business Center Dr Ste 160
Pearland, TX 77584-1914

Mailing address

3569 Business Center Dr Ste 160
Pearland, TX 77584-1914
Phone (248) 910-3092

Other identifiers 1

IdentifierTypeStateIssuer
8AN554OtherBCBSTX

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081023000709 TX Practitioner - Family Practice 2668573213 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3569 Business Ctr Dr
Suite 160
Pearland, TX 77584-1914
Phone (855) 877-5977

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Medical Group Family Medicine CurrentSince Aug 20, 2018 Accepting new patients
Nature Health and Wellness Clinic LLC Current Accepting new patients
Clear Lake Primary Care PLLC Family Medicine PastSince Mar 5, 2023 Accepting new patients

Locations

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

3569 Business Center Dr
Ste 110
Pearland, TX 77584

Interoperability endpoints

  • Direct secure messaging: ekaseb66083@memorialhermann.direct-ci.com
  • Direct secure messaging: enas.kaseb@pfwc.eclinicaldirectplus.com

Organizations & group practices 4

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": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1912126913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3569 BUSINESS CENTER DR STE 160",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775841914",
            "telephone_number": "248-910-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3569 BUSINESS CENTER DR STE 160",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775841914",
            "telephone_number": "855-877-5977",
            "fax_number": "832-603-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASEB",
        "first_name": "ENAS",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301082355",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M9397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8AN554",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.