Active NPI
Abdel Kader Fustok, MD
- Plastic Surgery Physician
- Bellaire, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- F4727
- Practice address
- 6750 West Loop S Ste 830
Bellaire, TX 77401 - Phone
- (713) 621-2950
- Fax
- (713) 621-2139
- NPI assigned
- Jan 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | F4727 | TX | Primary |
Addresses
Primary practice location
6750 West Loop S Ste 830
Bellaire, TX 77401
Mailing address
6750 West Loop S Ste 830
Bellaire, TX 77401-4117
Phone (713) 621-2950
Other practice location 1
4126 Southwest Fwy
Suite 1030
Houston, TX 77027-7310
Phone (713) 621-2950
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6750 W Loop S
Suite 830
Bellaire, TX 77401-4117
Phone (713) 621-2950
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fustok Cosmetic and Reconstructive Surgery PA | Multi-Specialty | Current | Accepting new patients |
| Kingwood Family Medicine, PA | Multi-Specialty | Past | Accepting new patients |
Locations
6750 West Loop S
Ste 830
Bellaire, TX 77401
Phone (713) 621-2950
333 West Loop N
Ste 410
Houston, TX 77024
Phone (713) 621-2950
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 and National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- Houston, TX
- NPI 1720569817
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538956800000",
"number": "1922150705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6750 WEST LOOP S STE 830",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774014117",
"telephone_number": "713-621-2950",
"fax_number": "713-621-2139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6750 WEST LOOP S STE 830",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "77401",
"telephone_number": "713-621-2950",
"fax_number": "713-621-2139"
}
],
"practiceLocations": [
{
"address_1": "4126 Southwest Fwy",
"address_2": "Suite 1030",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770277310",
"country_code": "US",
"telephone_number": "713-621-2950",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FUSTOK",
"first_name": "ABDEL",
"middle_name": "KADER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2018-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "TX",
"license": "F4727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellaire, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.