Active NPI
Mohammad Etminan, M.D.
- Orthopaedic Surgery of the Spine Physician
- Richmond, TX
National Provider Identifier
1972509230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- L2241
- Practice address
- 1517 Thompson Rd
Richmond, TX 77469-4932 - Phone
- (281) 344-1715
- NPI assigned
- Jun 22, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | L2241 | TX | Primary |
Addresses
Primary practice location
1517 Thompson Rd
Richmond, TX 77469-4932
Mailing address
909 Frostwood Dr
Suite 1.100
Houston, TX 77024-2301
Phone (281) 344-1715
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149358702 | Medicaid | TX | |
| 8M3060 | Other | TX | BLUE CROSS AND BLUE SHIEL |
| 149358705 | Medicaid | TX | |
| 149358706 | Medicaid | TX | |
| 3471057 | Other | TX | AETNA HMO |
| 149358704 | Medicaid | TX | |
| 182635700 | Other | TX | US DEPT OF LABOR |
| 7095249 | Other | TX | AETNA PPO |
| P01026731 | Other | TX | RAILROAD MEDICARE |
| 149358703 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040519001554 | TX | Practitioner - Orthopedic Surgery | 4385635267 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Baylor College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ankur D Mehta DO PA
Practice addresses (Care Compare)
8830 Long Point Rd
Suite 525
Houston, TX 77055-3040
Phone (832) 849-0909
Hospital & facility affiliations
- Memorial Hermann Sugar Land Hospital
- Sugar Land Surgical Hospital LLP
- Houston Methodist Sugarland Hospital
- Memorial Hermann Memorial City Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 28 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Assistant Solutions LLC | Current | Accepting new patients | |
| Ankur D Mehta DO PA | Current | Accepting new patients | |
| Hillcroft Medical Clinic Association | Current | Accepting new patients | |
| Texas Orthopaedic & Sports Medicine | Past | Accepting new patients | |
| Texas Orthopaedic & Sports Medicine | Past | Accepting new patients |
Locations
5535 Memorial Dr
Ste F816
Houston, TX 77007
Phone (832) 377-8620
8830 Long Point Rd
Ste 502
Houston, TX 77055
Phone (713) 468-2122
8830 Long Point Rd
Ste 525
Houston, TX 77055
Phone (832) 849-0909
2500 Fondren Rd
Ste 209
Houston, TX 77063
Phone (281) 565-8800
1125 Cypress Station Dr
Ste B-4
Houston, TX 77090
Phone (281) 440-1400
7700 Main St
Ste 320
Houston, TX 77030
Phone (346) 277-5391
2500 Fondren Rd
Ste 250
Houston, TX 77063
21222 Kingsland Blvd
Katy, TX 77450
Phone (281) 344-1715
1429 Highway 6
Sugar Land, TX 77478
Phone (713) 371-5725
16906 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 243-1000
Interoperability endpoints
- metminan@direct.uspi.com
Organizations & group practices 6
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.
-
- Physician Assistant
- Houston, TX
- NPI 1205496700
-
- Orthopaedic Surgery Physician
- Tomball, TX
- NPI 1285658831
-
- Durable Medical Equipment & Medical Supplies
- The Woodlands, TX
- NPI 1609289867
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sugar Land, TX
- NPI 1033114608
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340841600000",
"number": "1972509230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 FROSTWOOD DR",
"address_2": "SUITE 1.100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770242301",
"telephone_number": "281-344-1715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1517 THOMPSON RD",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774694932",
"telephone_number": "281-344-1715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ETMINAN",
"first_name": "MOHAMMAD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2012-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "TX",
"license": "L2241",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149358702",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIEL",
"identifier": "8M3060",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149358705",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149358706",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3471057",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149358704",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "182635700",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7095249",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01026731",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149358703",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.