Individual provider Active NPI

Baraa Alabd Alrazzak, MD

  • Pediatric Gastroenterology Physician
  • Cypress, TX
National Provider Identifier
1922312230
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
P8109 Issued in TX
Practice address
27700 Highway 290 Ste 355
Cypress, TX 77433-6766
Phone
(281) 456-4575
Fax
(281) 940-2665
NPI assigned
Jul 28, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X P8109 TX
Hospitalist Physician 208M00000X P8109 TX
Pediatric Gastroenterology Physician 2080P0206X P8109 TX Primary

Addresses

Primary practice location

27700 Highway 290 Ste 355
Cypress, TX 77433-6766

Mailing address

27700 Highway 290 Ste 355
Cypress, TX 77433-6766
Phone (281) 456-4575

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
I20151021000898 TX Practitioner - Pediatric MedicinePractitioner - Gastroenterology 9739328204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27700 Hwy 290
Suite 355
Cypress, TX 77433-7749
Phone (281) 456-4575

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P8109TXMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Gi Kare PLLC Pediatric Gastroenterology CurrentSince Mar 19, 2018 Accepting new patients
Frontier Medical Associates of Paintsville Inc Past Accepting new patients
Albaree Health Services LLC PastSince Jan 7, 2024 Accepting new patients

Locations

27700 NW Freeway
Ste 355
Cypress, TX 77433
Phone (281) 456-4575

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJGGBD
  • Direct secure messaging: baraa.alrazzak@kgkp.eclinicaldirectplus.com

Organizations & group practices 3

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": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1922312230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27700 HIGHWAY 290 STE 355",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774336766",
            "telephone_number": "281-456-4575",
            "fax_number": "281-940-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27700 HIGHWAY 290 STE 355",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774336766",
            "telephone_number": "281-456-4575",
            "fax_number": "281-940-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALABD ALRAZZAK",
        "first_name": "BARAA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-28",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P8109",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "P8109",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "TX",
            "license": "P8109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.