Individual provider Active NPI

Abdel Kader Fustok, MD

  • Plastic Surgery Physician
  • Bellaire, TX
National Provider Identifier
1922150705
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
F4727 Issued in TX
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

Updated by the provider on Oct 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121003000754 TX Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 8628080645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand 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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fustok Cosmetic and Reconstructive Surgery PA Multi-Specialty CurrentSince Oct 18, 2018 Accepting new patients
Kingwood Family Medicine, PA Multi-Specialty PastSince Aug 1, 2015 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.

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

Verify at the official NPI Registry.