Individual provider Active NPI

Ahmad Ibrahim Noubani

  • Physician Assistant
  • Katy, TX
National Provider Identifier
1952147456
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA19943 Issued in TX
Practice address
225 Bella Katy Dr
Katy, TX 77494-6821
Phone
(832) 500-7585
NPI assigned
Jul 3, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA19943 TX Primary

Addresses

Primary practice location

225 Bella Katy Dr
Katy, TX 77494-6821

Mailing address

225 Bella Katy Dr
Katy, TX 77494-6821

Other practice location 1

5323 Harry Hines Blvd Stop 7200
Dallas, TX 75390-9090
Phone (214) 648-1500

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260513001009 TX Practitioner - Physician Assistant 7911476510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Southwestern Medical School at Dallas, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Integrative Primary Care PLLCGroup PAC ID 3274853288, 3 clinicians

Practice addresses (Care Compare)

225 Bella Katy Dr
Katy, TX 77494-6821
Phone (832) 500-7585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA19943TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bird Dog Pharma, LLC Past Accepting new patients
Integrative Primary Care PLLC PastSince Apr 1, 2015 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1952147456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BELLA KATY DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BELLA KATY DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946821",
            "telephone_number": "832-500-7585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 Harry Hines Blvd Stop 7200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753909090",
            "country_code": "US",
            "telephone_number": "214-648-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOUBANI",
        "first_name": "AHMAD",
        "middle_name": "IBRAHIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-03",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA19943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.