NPIMap

Individual provider Active NPI

Samir Mazharuddin

  • Hematology & Oncology Physician
  • Webster, TX
National Provider Identifier
1922442995
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
Q0975 Issued in TX
Practice address
711 W Bay Area Blvd Ste 602
Webster, TX 77598-4042
Phone
(281) 332-3001
Fax
(281) 332-3005
NPI assigned
Apr 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Q0975 TX
Hematology & Oncology Physician 207RH0003X Q0975 TX Primary

Addresses

Primary practice location

711 W Bay Area Blvd Ste 602
Webster, TX 77598-4042

Mailing address

711 W Bay Area Blvd Ste 602
Webster, TX 77598-4042
Phone (281) 332-3001

Other identifiers 2

IdentifierTypeStateIssuer
343380710MedicaidTX
343380711MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150303001114 TX Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Medical OncologyPractitioner - Emergency Medicine 6709102148 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine, Medical Oncology
Education
Texas a & M University System, HSC, College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

3410 Worth St
Suite 300
Dallas, TX 75246-2012
Phone (214) 370-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA Hematology & Oncology CurrentSince Oct 1, 2017 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Feb 9, 2015 Accepting new patients
Concord Medical Group PLLC CurrentSince Feb 9, 2015 Accepting new patients
Healthtexas Provider Network Internal Medicine CurrentSince Nov 26, 2017 Accepting new patients
Inpatient Physician Associates PLLC Internal Medicine CurrentSince Jun 1, 2016 Accepting new patients
Healthtexas Provider Network CurrentSince Nov 26, 2017 Accepting new patients
Texas Oncology PA Hematology & Oncology CurrentSince Oct 1, 2017 Accepting new patients
Texas Oncology PA Hematology & Oncology Current Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000

3410 Worth St
Ste 300
Dallas, TX 75246
Phone (214) 370-1500

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

6901 Snider Plz
Ste 130
Dallas, TX 75205
Phone (972) 381-6690

3600 Gaston Ave
Ste 558
Dallas, TX 75246

3500 Gaston Ave
Dallas, TX 75246

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

700 Walter Reed Blvd
Ste 203
Garland, TX 75042
Phone (972) 426-9900

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

925 Gessner Rd
Ste 550
Houston, TX 77024
Phone (713) 467-1722

18980 W Memorial Dr
Ste 440
Humble, TX 77338
Phone (832) 616-5190

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

Interoperability endpoints

  • Direct secure messaging: smazharuddin283295@direct.sw.org
  • Direct secure messaging: samir.mazharuddin@txo.ikm.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 8

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": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1922442995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W BAY AREA BLVD STE 602",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984042",
            "telephone_number": "281-332-3001",
            "fax_number": "281-332-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W BAY AREA BLVD STE 602",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984042",
            "telephone_number": "281-332-3001",
            "fax_number": "281-332-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZHARUDDIN",
        "first_name": "SAMIR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-22",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q0975",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "Q0975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "343380710",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "343380711",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.