Kahtan a. Kaissi, MD

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

K1491 Issued in TX

Legal business name

KAHTAN A. KAISSI, MD

Practice address

1300 Franklin Ave
Nederland, TX 77627-3949

Phone

(409) 722-3437

Fax

(409) 722-1281

NPI assigned

Jan 2, 2008

Last updated

Aug 3, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kahtan A. Kaissi, M.D.NPI 1518999226

Title

Physician

Phone

(409) 722-3437

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kahtan A. Kaissi, M.D.

  • Internal Medicine Physician
  • Nederland, TX
  • NPI 1518999226
  NPD (past) Authorized official
• Lubna M. Kaissi, M.D.

  • Family Medicine Physician
  • Missouri City, TX
  • NPI 1982636551
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1932384435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 FRANKLIN AVE",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776273949",
            "telephone_number": "409-722-3437",
            "fax_number": "409-722-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 FRANKLIN AVE",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776273949",
            "telephone_number": "409-722-3437",
            "fax_number": "409-722-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAHTAN A. KAISSI, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "KAISSI",
        "authorized_official_first_name": "KAHTAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "409-722-3437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "K1491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "8B4030",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID NO.",
            "identifier": "8B4031",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John L. Forsythe, M.D.P.a
• Jobin John, RPH
• Jeannie Johnson, FNP-C
• Michael Robert Johnson, MPT
• Jon Kevin Jones, PT
• Kahtan A. Kaissi, M.D.
• Kalto Occupational (Kaliber Occupational Medicine)
• Zainab Zamir Kayani, DO
• Kotzur Huber LLP (Mid County Family Clinic)
• KR Wellness Solutions PA (Standard Medical Group of Southeast Texas)

• Clinic/Center in Nederland, TX
• Providers in Nederland, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.