Mustafa Mandviwala, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

F8561 Issued in TX

Practice address

13406 Medical Complex Dr
Ste 110
Tomball, TX 77375-3332

Phone

(281) 351-6250

Fax

(281) 351-7841

NPI assigned

Aug 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mustafa Mandviwala, MD, PAGroup PAC ID 2062405087, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Houston Healthcare Tomball Hospital, Tomball, TX, CCN 450670

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mustafa.mandviwala@nwhc.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/EEEIAA

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.

• Mustafa Mandviwala, MD, PA

  • Cardiovascular Disease Physician
  • Tomball, TX
  • NPI 1346360997
  Medicare reassignment Care Compare group NPD Authorized official
• Cardiovascular Care Providers, Inc.

  • Specialist
  • Houston, TX
  • NPI 1437242617
  NPD (past)

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

• North Houston - TRMC, LLC

  • General Acute Care Hospital
  • Tomball, TX
  • NPI 1750819025
  Care Compare affiliation

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1982606448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13406 MEDICAL COMPLEX DR",
            "address_2": "STE 110",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753332",
            "telephone_number": "281-351-6250",
            "fax_number": "281-351-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13406 MEDICAL COMPLEX DR",
            "address_2": "STE 110",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753332",
            "telephone_number": "281-351-6250",
            "fax_number": "281-351-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDVIWALA",
        "first_name": "MUSTAFA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "F8561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122524501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alecia Walker Mallett, RN, NP-C
• Mamai Home Healthcare Corporation
• Man Tooth Oral Services PLLC
• Jason J Manafi, PA
• Murtaza Mustafa Mandviwala, MD
• Taher Mustafa Mandviwala, M.D.
• Maria Mangual
• Kristen Maniha, PTA
• Mann Eye Center, P.a.
• Kyle Manning, DC

• Cardiovascular Disease Physician in Tomball, TX
• Providers in Tomball, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.

Verify at the official NPI Registry.