Active NPI
Mohamed Khaled Ezz Eldin, MD
- Hospitalist Physician
- Houston, TX
National Provider Identifier
1952097388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- W1413
- Practice address
- 921 Gessner Rd
Houston, TX 77024-2501 - Phone
- (713) 242-3768
- NPI assigned
- Apr 18, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Physician | 208D00000X | MD.49919 | AL | |
| Hospitalist Physician | 208M00000X | W1413 | TX | Primary |
| Internal Medicine Physician | 207R00000X | W1413 | TX |
Addresses
Primary practice location
921 Gessner Rd
Houston, TX 77024-2501
Mailing address
930 Frostwood Dr
Houston, TX 77024-2450
Phone (713) 242-3768
Other practice location 1
1701 Veterans Dr
Florence, AL 35630-4928
Phone (256) 629-1950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4055 Valley View LN
Suite 700
Dallas, TX 75244-4910
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| W1413 | TX | MD | Internal Medicine Physician |
| MD.49919 | AL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | General Practice | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1952097388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 FROSTWOOD DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770242450",
"telephone_number": "713-242-3768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 GESSNER RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770242501",
"telephone_number": "713-242-3768"
}
],
"practiceLocations": [
{
"address_1": "1701 Veterans Dr",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "AL",
"postal_code": "356304928",
"country_code": "US",
"telephone_number": "256-629-1950",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EZZ ELDIN",
"first_name": "MOHAMED",
"middle_name": "KHALED",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-18",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AL",
"license": "MD.49919",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TX",
"license": "W1413",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "W1413",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.