Individual provider Active NPI

Mazen Elias Abdallah, MD

  • Reproductive Endocrinology Physician
  • Houston, TX
National Provider Identifier
1932385077
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
P6305 Issued in TX
Practice address
7515 S Main Street Suite 500
Houston, TX 77030
Phone
(713) 730-2229
Fax
(713) 396-3854
NPI assigned
Jan 19, 2008
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X P6305 TX Primary

Addresses

Primary practice location

7515 S Main Street Suite 500
Houston, TX 77030

Mailing address

PO Box 631607
Cincinnati, OH 45263-1607
Phone (713) 300-1123

Other identifiers 1

IdentifierTypeStateIssuer
P6305OtherTXTEXAS PHYSICIAN LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mazenabdallah@direct.utphysicians.net Direct

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
I20131121000198 TX Practitioner - Obstetrics/Gynecology 6608002654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P6305TXMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Sep 1, 2013 Accepting new patients
Ut Physicians CurrentSince Sep 1, 2013 Accepting new patients

Locations

27700 NW Freeway
Ste 430
Cypress, TX 77433

6410 Fannin St
#135
Houston, TX 77030

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

929 Gessner Rd
Ste 1320
Houston, TX 77024

10905 Memorial Hermann Dr
Pearland, TX 77584
Phone (713) 486-6000

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

8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1200700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1932385077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631607",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631607",
            "telephone_number": "713-300-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 S MAIN STREET SUITE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-730-2229",
            "fax_number": "713-396-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDALLAH",
        "first_name": "MAZEN",
        "middle_name": "ELIAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-19",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "TX",
            "license": "P6305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS PHYSICIAN LICENSE",
            "identifier": "P6305",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mazenabdallah@direct.utphysicians.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "21216 Northwest Fwy",
            "address_2": "Suite 580",
            "city": "Cypress",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774294697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.