Individual provider Active NPI

Ali Mazloom, M.D.

  • Radiation Oncology Physician
  • Cypress, TX
National Provider Identifier
1962794560
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
P9905 Issued in TX
Practice address
21216 Northwest Fwy Ste 100
Cypress, TX 77429
Phone
(832) 912-3650
NPI assigned
May 14, 2011
Last updated
Sep 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X P9905 TX Primary

Addresses

Primary practice location

21216 Northwest Fwy Ste 100
Cypress, TX 77429

Mailing address

21216 Northwest Fwy Ste 100
Cypress, TX 77429-1439
Phone (832) 912-3650

Other practice location 1

10650 Steepletop Dr
Houston, TX 77065-4221
Phone (281) 890-8885

Other practice location 2

21216 Northwest Fwy Ste 100
Cypress, TX 77429
Phone (832) 912-3650

Other identifiers 1

IdentifierTypeStateIssuer
361394501MedicaidTX

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
I20160816001419 TX Practitioner - Radiation Oncology 4183939572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Baylor College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Associates of West Houston PLLCGroup PAC ID 6800056177, 125 clinicians

Practice addresses (Care Compare)

1140 Business Ctr Dr
Suite 490
Houston, TX 77043-2741
Phone (713) 932-1247

15200 Southwest Fwy
Suite 290
Sugar Land, TX 77478-3866
Phone (281) 980-2010

21214 Northwest Fwy
Cypress, TX 77429-2105
Phone (832) 912-3791

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Origin Diagnostics LLC CurrentSince Apr 17, 2025 Accepting new patients
Origin Diagnostics LLC CurrentSince Apr 17, 2025 Accepting new patients
Origin MRI and Diagnostics Current Accepting new patients
Origin Imaging & Diagnostics LLC Current Accepting new patients
Origin Diagnostics LLC CurrentSince Apr 17, 2025 Accepting new patients
Specialty Associates of West Houston PLLC CurrentSince Aug 15, 2017 Accepting new patients
Origin Imaging & Diagnostics LLC Current Accepting new patients
New Medical Horizons II, LTD. PastSince Sep 1, 2016 Accepting new patients

Locations

21216 Northwest Fwy
Ste 100
Cypress, TX 77429
Phone (832) 912-3650

10650 Steepletop Dr
Houston, TX 77065
Phone (281) 890-8885

1140 Business Center Dr
Ste 490
Houston, TX 77043
Phone (713) 932-1247

15200 Southwest Fwy
Ste 290
Sugar Land, TX 77478
Phone (281) 980-2010

Interoperability endpoints

  • Direct secure messaging: ali.mazloom@hca9.eclinicaldirectplus.com

Organizations & group practices 8

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 1

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": "1305331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1962794560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21216 NORTHWEST FWY STE 100",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291439",
            "telephone_number": "832-912-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21216 NORTHWEST FWY STE 100",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "77429",
            "telephone_number": "832-912-3650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10650 Steepletop Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770654221",
            "country_code": "US",
            "telephone_number": "281-890-8885",
            "fax_number": "281-890-8208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21216 Northwest Fwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "77429",
            "country_code": "US",
            "telephone_number": "832-912-3650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZLOOM",
        "first_name": "ALI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-14",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "P9905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "361394501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.