Individual provider Active NPI

Mohammad El-Ghanem, MD

  • Vascular Neurology Physician
  • Houston, TX
National Provider Identifier
1912276221
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
T2359 Issued in TX
Practice address
800 Peakwood Dr Ste 5D
Houston, TX 77090-2903
Phone
(832) 353-2498
Fax
(832) 353-2499
NPI assigned
Dec 16, 2011
Last updated
Apr 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X T2359 TX
Neuroradiology Physician 2085N0700X T2359 TX
Vascular Neurology Physician 2084V0102X T2359 TX Primary

Addresses

Primary practice location

800 Peakwood Dr Ste 5D
Houston, TX 77090-2903

Mailing address

800 Peakwood Dr Ste 5D
Houston, TX 77090-2903
Phone (832) 353-2498

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
I20210814000082 TX Practitioner - Neurology 5294080040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuro-Hospitalist of Clear Lake, PLLCGroup PAC ID 8527243682, 20 clinicians

Practice addresses (Care Compare)

800 Peakwood Dr
Suite 5D
Houston, TX 77090-2903
Phone (832) 353-2498

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T2359TXMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro-Hospitalist of Clear Lake, PLLC Neurology CurrentSince Aug 1, 2021 Accepting new patients
Specialty Associates of West Houston PLLC PastSince Sep 1, 2020 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

21212 Northwest Fwy
Ste 645A
Cypress, TX 77429
Phone (281) 894-5310

800 Peakwood Dr
Ste 5D
Houston, TX 77090
Phone (281) 440-3618

450 W Medical Center Blvd
Ste 600
Webster, TX 77598
Phone (281) 338-3270

500 W Medical Center Blvd
#C
Webster, TX 77598

Interoperability endpoints

  • Direct secure messaging: mohammad.elghanem@hca9.eclinicaldirectplus.com

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1912276221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PEAKWOOD DR STE 5D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902903",
            "telephone_number": "832-353-2498",
            "fax_number": "832-353-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PEAKWOOD DR STE 5D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902903",
            "telephone_number": "832-353-2498",
            "fax_number": "832-353-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-GHANEM",
        "first_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-16",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "T2359",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TX",
            "license": "T2359",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "TX",
            "license": "T2359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.