Individual provider Active NPI

Sherine W Tadros, M.D.

  • Internal Medicine Physician
  • Highlands, TX
National Provider Identifier
1952542003
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M6416 Issued in TX
Practice address
607 E Wallisville Rd
Highlands, TX 77562-3831
Phone
(281) 426-8586
Fax
(281) 426-7983
NPI assigned
Mar 19, 2009
Last updated
Oct 26, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M6416 TX Primary

Addresses

Primary practice location

607 E Wallisville Rd
Highlands, TX 77562-3831

Mailing address

607 E Wallisville Rd
Highlands, TX 77562-3831
Phone (281) 426-8586

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
I20110912000227 TX Practitioner - Internal Medicine 0244401859 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Khan and Mujeeb PLLCGroup PAC ID 6305023169, 4 clinicians

Practice addresses (Care Compare)

2655 W Baker Rd
Baytown, TX 77521-2206

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M6416TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Khan & Mujeeb Urgent Care Group CurrentSince Jun 30, 2014 Accepting new patients
Khan and Mujeeb PLLC CurrentSince Jan 1, 2015 Accepting new patients

Locations

1658 W Baker Rd
Ste A
Baytown, TX 77521
Phone (281) 428-0000

2655 W Baker Rd
Baytown, TX 77521
Phone (281) 425-9205

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1952542003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 E WALLISVILLE RD",
            "city": "HIGHLANDS",
            "state": "TX",
            "postal_code": "775623831",
            "telephone_number": "281-426-8586",
            "fax_number": "281-426-7983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 E WALLISVILLE RD",
            "city": "HIGHLANDS",
            "state": "TX",
            "postal_code": "775623831",
            "telephone_number": "281-426-8586",
            "fax_number": "281-426-7983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADROS",
        "first_name": "SHERINE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-19",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M6416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands, TX

Sources for this page

Verify at the official NPI Registry.