Individual provider Active NPI

Mohammad Hirzallah, M.D., M.SC.

  • Neurocritical Care Physician
  • Houston, TX
National Provider Identifier
1922440981
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurocritical Care PhysicianTaxonomy code 2084A2900X
License
S0905 Issued in TX
Practice address
6720 Bertner Ave
Houston, TX 77030-2604
Phone
(713) 240-9204
NPI assigned
Jul 18, 2013
Last updated
Oct 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurocritical Care Physician 2084A2900X S0905 TX Primary

Addresses

Primary practice location

6720 Bertner Ave
Houston, TX 77030-2604

Mailing address

1 Baylor PLZ # Nb200
Houston, TX 77030-3498
Phone (713) 798-8472

Other practice location 1

6431 Fannin St
Suite 7.044
Houston, TX 77030-1501
Phone (713) 500-7100

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
I20190817000229 TX Practitioner - NeurologyPractitioner - Critical Care (Intensivists) 9032447842 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Critical Care (Intensivists)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians
Providence Health and Services MtGroup PAC ID 6608786306, 358 clinicians
Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians

Practice addresses (Care Compare)

Houston, TX 77007

1804 Austin CRK
Friendswood, TX 77546-1524

6115 Tyne St
Houston, TX 77007-3043

7200 Cambridge St
FL 9
Houston, TX 77030-4202
Phone (713) 798-2500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince May 21, 2019 Accepting new patients
Providence Health & Services- Washington CurrentSince Mar 18, 2022 Accepting new patients
Baylor College of Medicine CurrentSince May 21, 2019 Accepting new patients
Providence Health & Services- Washington CurrentSince Mar 21, 2022 Accepting new patients
Providence Health & Services Oregon CurrentSince Nov 16, 2021 Accepting new patients
Providence Health & Services Washington CurrentSince Nov 13, 2021 Accepting new patients
Providence Health & Services Mt CurrentSince Oct 15, 2021 Accepting new patients
Providence Medical Institute CurrentSince Nov 24, 2021 Accepting new patients
Swedish Health Services CurrentSince Sep 29, 2022 Accepting new patients
Baylor College of Medicine CurrentSince May 21, 2019 Accepting new patients
Providence Health & Services Oregon CurrentSince Nov 16, 2021 Accepting new patients
Providence Medical Institute CurrentSince Nov 24, 2021 Accepting new patients
Texas Children's Physician Group CurrentSince Nov 14, 2024 Accepting new patients
Baylor College of Medicine CurrentSince May 21, 2019 Accepting new patients
Providence Health & Services - Washington CurrentSince Oct 15, 2021 Accepting new patients

Locations

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

7200 Cambridge St
Fl 9
Houston, TX 77030
Phone (713) 798-2273

6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000

6720 Bertner Ave
Va Hospital, TX 77030
Phone (713) 785-8537

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

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": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1922440981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BAYLOR PLZ # NB200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303498",
            "telephone_number": "713-798-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 BERTNER AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302604",
            "telephone_number": "713-240-9204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6431 Fannin St",
            "address_2": "Suite 7.044",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301501",
            "country_code": "US",
            "telephone_number": "713-500-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIRZALLAH",
        "first_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "M.D., M.SC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-18",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "TX",
            "license": "S0905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.