Yousuf Ahmed MD PA

Organization Active NPI Family Medicine Physician · Conroe, TX

NPI 1962674804 · NPPES record last updated Jun 30, 2026

Key facts

NPI
1962674804
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
YOUSUF AHMED MD PA
Practice address
100 Medical Center Blvd Ste 110
Conroe, TX 77304-2821
Phone
(936) 441-7300
Fax
(936) 760-4439
NPI assigned
Apr 1, 2008
Organization subpart
No

Authorized official

Name
Carmen Estrada
Title
Office Manager
Phone
(936) 788-4481

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1082443Family Care Team
100 Medical Center Blvd, Suite 110, Conroe, TX 77304
Certificate of waiverApr 9, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20210623002172 TX Part B Supplier - Clinic/Group Practice 9234530676 Receives reassigned benefits from 2 practitioners
Practice locations: Conroe, TX

National Provider Directory

Locations

100 Medical Center Blvd
Ste 110
Conroe, TX 77304
Phone (936) 441-7300

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
207Q00000X Yes
Pediatrics Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208000000X M4694 TX
Pediatrics Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
208000000X

Addresses

Primary practice location

100 Medical Center Blvd Ste 110
Conroe, TX 77304-2821

Mailing address

100 Medical Center Blvd
Suite 110
Conroe, TX 77304-2888
Phone (936) 441-7300

Other identifiers

IdentifierTypeStateIssuer
191159601MedicaidTX
302166902MedicaidTX
302166901MedicaidTX

Other names

  • Family Care Team Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://www.jointhenetwork.com/mobiledoc/jsp/dashboard/login.jsp Health Information Exchange (HIE)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 30, 2026.

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1962674804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER BLVD",
            "address_2": "SUITE 110",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042888",
            "telephone_number": "936-441-7300",
            "fax_number": "936-760-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER BLVD STE 110",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042821",
            "telephone_number": "936-441-7300",
            "fax_number": "936-760-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUSUF AHMED MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "936-788-4481"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M4694",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191159601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302166902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302166901",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.jointhenetwork.com/mobiledoc/jsp/dashboard/login.jsp",
            "affiliation": "N",
            "endpointDescription": "p2p data exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Medical Center Blvd Ste 110",
            "city": "Conroe",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773042821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Family Care Team",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conroe, TX

All providers in Conroe, TX · Family Medicine Physician in Texas

Sources for this page

Verify at the official NPI Registry.