Individual provider Active NPI

Moiz Ahmed, M.D

  • Family Medicine Physician
  • Katy, TX
National Provider Identifier
1932359452
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N1519 Issued in TX
Practice address
2830 Commercial Center Blvd
Suit # 102
Katy, TX 77494-6405
Phone
(832) 437-5218
NPI assigned
Sep 19, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N1519 TX Primary

Addresses

Primary practice location

2830 Commercial Center Blvd
Suit # 102
Katy, TX 77494-6405

Mailing address

2830 Commercial Center Blvd
Suite # 102
Richmond, TX 77407-3094
Phone (832) 437-5218

Other identifiers 1

IdentifierTypeStateIssuer
N1519OtherTXSTATE LICENSE

Other names 1

  • Moiz Ahmed Professional name

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
I20111014000205 TX Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Geriatric Medicine 6507929148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2840 Commercial Ctr Blvd
Suite 104
Katy, TX 77494-6412
Phone (832) 437-5218

Hospital & facility affiliations

  • Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N1519TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ma Medical Care PLLC Family Medicine CurrentSince May 1, 2016 Accepting new patients
Harris County Hospital District Past Accepting new patients

Locations

2830 Commercial Center Blvd
Ste 102
Katy, TX 77494
Phone (281) 693-1700

2840 Commercial Center Blvd
Katy, TX 77494
Phone (281) 691-5717

2840 Commercial Center Blvd
Ste 104
Katy, TX 77494
Phone (513) 505-9644

Interoperability endpoints

  • Direct secure messaging: mahmed65209@memorialhermann.direct-ci.com

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.

Hospital & facility affiliations 1

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": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1932359452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 COMMERCIAL CENTER BLVD",
            "address_2": "SUITE # 102",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774073094",
            "telephone_number": "832-437-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 COMMERCIAL CENTER BLVD",
            "address_2": "SUIT # 102",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946405",
            "telephone_number": "832-437-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "MOIZ",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-19",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N1519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "N1519",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOIZ",
            "last_name": "AHMED",
            "credential": "M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.