Excellence Care Clinic MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EXCELLENCE CARE CLINIC MD PA

Practice address

19701 Kingwood Dr
Building 9
Kingwood, TX 77339-3775

Phone

(304) 435-7573

Fax

(832) 516-6184

NPI assigned

Mar 28, 2022

Last updated

Mar 20, 2025By 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

Rizwan Ali, MDNPI 1588005276

Title

Owner

Phone

(832) 516-6184

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

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.

• Rizwan Ali, M.D

  • Internal Medicine Physician
  • Kingwood, TX
  • NPI 1588005276
  Medicare reassignment Care Compare group NPD Authorized official
• Arooj Tahir, MD

  • Hospitalist Physician
  • Kingwood, TX
  • NPI 1154959310
  Medicare reassignment Care Compare group NPD
• Vivek Patel

  • Physician Assistant
  • Sugar Land, TX
  • NPI 1356069975
  Medicare reassignment

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1932859212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540088",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772540088",
            "telephone_number": "713-850-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19701 KINGWOOD DR",
            "address_2": "BUILDING 9",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393775",
            "telephone_number": "304-435-7573",
            "fax_number": "832-516-6184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENCE CARE CLINIC MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-28",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "RIZWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-516-6184",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bethany Fabrygel, OD
• Luis Rolando Fadrigo Jr.

• Internal Medicine Physician in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.