Active NPI
Mahwish Ilyas
- Internal Medicine Physician
- Spring, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- R9503
- Practice address
- 4894 Louetta Rd
Spring, TX 77388-4421 - Phone
- (832) 937-5904
- Fax
- (888) 639-5102
- NPI assigned
- Jul 25, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 27576 | WV | |
| Internal Medicine Physician | 207R00000X | R9503 | TX | Primary |
Addresses
Primary practice location
4894 Louetta Rd
Spring, TX 77388-4421
Mailing address
4894 Louetta Rd
Spring, TX 77388-4421
Phone (832) 937-5904
Other practice location 1
4000 Hampton Ctr Ste B
Morgantown, WV 26505-1730
Phone (304) 413-2552
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9503 | TX | MD | Internal Medicine Physician |
| 27576 | WV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Heart & Vascular Center PA | Current | Accepting new patients | |
| Centrum Medical Group, PLLC | Current | Accepting new patients | |
| Centrum Medical Group PLLC | Current | Accepting new patients | |
| Centrum Medical Group, PLLC | Current | Accepting new patients | |
| Masonicare Behavioral Health, LLC | Past | Accepting new patients | |
| Masonicare Primary Care Physicians | Past | Accepting new patients |
Locations
9250 NW 36th St
Ste 420
Doral, FL 33178
Phone (786) 873-1805
17515 Spring Cypress Rd
Unit 1
Cypress, TX 77429
8498 S Sam Houston Pkwy E
Ste 100
Houston, TX 77075
Phone (832) 831-3974
13977 Westheimer Rd
Ste D
Houston, TX 77077
Phone (281) 558-4300
8102 Antoine Dr
Houston, TX 77088
Phone (713) 360-2980
10934 I 10 East Fwy
Houston, TX 77029
Phone (713) 450-2838
17070 Red Oak Dr
Ste 400
Houston, TX 77090
Phone (281) 440-4089
7077 Highway 6 N
Houston, TX 77095
Phone (281) 815-1644
1463 S Mason Rd
Katy, TX 77450
Phone (281) 771-1166
4894 Louetta Rd
Spring, TX 77388
Phone (281) 288-9229
14090 FM 2920 Rd
Ste G540
Tomball, TX 77377
155 School St
Ste 220
Tomball, TX 77375
Phone (832) 305-5977
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.
-
- Cardiovascular Disease Physician
- Tomball, TX
- NPI 1821863366
-
- General Practice Physician
- Katy, TX
- NPI 1376219543
-
- General Practice Physician
- McAllen, TX
- NPI 1033099627
-
- General Practice Physician
- Houston, TX
- NPI 1063165942
-
- Geriatric Psychiatry Physician
- Wallingford, CT
- NPI 1992781488
-
- Geriatric Medicine (Internal Medicine) Physician
- Wallingford, CT
- NPI 1922084540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672790400000",
"number": "1982869293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4894 LOUETTA RD",
"city": "SPRING",
"state": "TX",
"postal_code": "773884421",
"telephone_number": "832-937-5904",
"fax_number": "888-639-5102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4894 LOUETTA RD",
"city": "SPRING",
"state": "TX",
"postal_code": "773884421",
"telephone_number": "832-937-5904",
"fax_number": "888-639-5102"
}
],
"practiceLocations": [
{
"address_1": "4000 Hampton Ctr Ste B",
"address_purpose": "LOCATION",
"city": "Morgantown",
"state": "WV",
"postal_code": "265051730",
"country_code": "US",
"telephone_number": "304-413-2552",
"fax_number": "304-413-0055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ILYAS",
"first_name": "MAHWISH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-25",
"last_updated": "2023-01-04",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "27576",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "R9503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.