Individual provider Active NPI

Adeel Afzal, M.D.

  • Internal Medicine Physician
  • Conroe, TX
National Provider Identifier
1982866653
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P1957 Issued in TX
Practice address
601 River Pointe Dr
Suite 100
Conroe, TX 77304-2945
Phone
(936) 446-2227
Fax
(936) 788-2221
NPI assigned
Jun 25, 2008
Last updated
Aug 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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 P1957 TX Primary

Addresses

Primary practice location

601 River Pointe Dr
Suite 100
Conroe, TX 77304-2945

Mailing address

601 River Pointe Dr
Suite 100
Conroe, TX 77304-2945
Phone (936) 446-2227

Other practice location 1

20821 Eva St Ste 873B
Montgomery, TX 77356-1976
Phone (936) 446-2227

Other practice location 2

2801 Franciscan Dr
Bryan, TX 77802-2544
Phone (979) 776-2537

Other practice location 3

1604 Rock Prairie Rd
College Station, TX 77845-8343
Phone (979) 680-5474

Other identifiers 1

IdentifierTypeStateIssuer
1982866653MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL AMS

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
I20120912000894 TX Practitioner - Internal Medicine 0345307195 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Joseph Regional Health CenterGroup PAC ID 5294727921, 141 clinicians

Practice addresses (Care Compare)

2801 Franciscan Dr
Bryan, TX 77802-2544
Phone (979) 776-3777

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neudorf Infectious Diseases Clinic CurrentSince Nov 1, 2019 Accepting new patients
Healing Internal Medicine Clinic PLLC Internal Medicine Current Accepting new patients
St. Joseph Regional Health Center Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
St Joseph Regional Health Center CurrentSince Aug 1, 2022 Accepting new patients
St Joseph Regional Health Center Past Accepting new patients

Locations

2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777

601 River Pointe Dr
Ste 100
Conroe, TX 77304
Phone (936) 446-2227

20821 Eva St
Ste 873B
Montgomery, TX 77356
Phone (936) 446-2227

Organizations & group practices 7

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": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1982866653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 RIVER POINTE DR",
            "address_2": "SUITE 100",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042945",
            "telephone_number": "936-446-2227",
            "fax_number": "936-788-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 RIVER POINTE DR",
            "address_2": "SUITE 100",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042945",
            "telephone_number": "936-446-2227",
            "fax_number": "936-788-2221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20821 Eva St Ste 873B",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "TX",
            "postal_code": "773561976",
            "country_code": "US",
            "telephone_number": "936-446-2227",
            "fax_number": "936-788-2221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 Franciscan Dr",
            "address_purpose": "LOCATION",
            "city": "Bryan",
            "state": "TX",
            "postal_code": "778022544",
            "country_code": "US",
            "telephone_number": "979-776-2537",
            "fax_number": "979-776-2526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1604 Rock Prairie Rd",
            "address_purpose": "LOCATION",
            "city": "College Station",
            "state": "TX",
            "postal_code": "778458343",
            "country_code": "US",
            "telephone_number": "979-680-5474",
            "fax_number": "979-680-5487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AFZAL",
        "first_name": "ADEEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P1957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982866653",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "AMS",
            "affiliation": "N",
            "address_1": "601 River Pointe Dr",
            "address_2": "SUITE 100",
            "city": "Conroe",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773042945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.