Organization Active NPI

TMC Physicians

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1912241753
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TMC PHYSICIANS
Practice address
2410 Ella Blvd Ste B
Houston, TX 77008-2721
Phone
(713) 861-5000
Fax
(713) 861-5040
NPI assigned
Nov 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Authorized official

Name
Dr. Imran Siddiqui, M.D.NPI 1821050238
Title
Partner
Phone
(254) 493-0814

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2410 Ella Blvd Ste B
Houston, TX 77008-2721

Mailing address

2410 Ella Blvd Ste B
Houston, TX 77008-2721
Phone (713) 861-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130126000040 TX Part B Supplier - Clinic/Group Practice 8921252081 Receives reassigned benefits from 4 practitioners
Practice locations: Houston, TX; Webster, TX

National Provider Directory

National Provider Directory

Locations

2410 Ella Blvd
Houston, TX 77008

2410 Ella Blvd
Ste B
Houston, TX 77008
Phone (713) 861-5000

4632 Nasa Pkwy
Seabrook, TX 77586
Phone (281) 326-5525

Practitioners & affiliated clinicians

Practitioners 4

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": "1353110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1912241753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 ELLA BLVD STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770082721",
            "telephone_number": "713-861-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 ELLA BLVD STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770082721",
            "telephone_number": "713-861-5000",
            "fax_number": "713-861-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMC PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-17",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "IMRAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "254-493-0814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.