Individual provider Active NPI

Rod Mahmoudizad, M.D.

  • MOHS-Micrographic Surgery Physician
  • Katy, TX
National Provider Identifier
1992084735
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
Q8950 Issued in TX
Practice address
21800 Katy Fwy Ste 200
Katy, TX 77449-7780
Phone
(713) 771-1100
Fax
(713) 771-1545
NPI assigned
Aug 10, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Q8950 TX
MOHS-Micrographic Surgery Physician 207ND0101X Q8950 TX Primary

Addresses

Primary practice location

21800 Katy Fwy Ste 200
Katy, TX 77449-7780

Mailing address

9900 N Central Expy Ste 500
Dallas, TX 75231-0928
Phone (214) 987-3376

Other practice location 1

508 Medical Center Blvd Ste 380
Conroe, TX 77304-2954
Phone (281) 573-8333

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
I20161116000269 TX Practitioner - Dermatology 2860771896 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical Branch at Galveston, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PDP of Texas, PLLCGroup PAC ID 2466455050, 61 clinicians
Michael Sonabend MD PAGroup PAC ID 6901045665, 28 clinicians

Practice addresses (Care Compare)

21800 Katy Fwy
Suite 200
Katy, TX 77449-7780
Phone (713) 771-1100

508 Medical Ctr Blvd
Suite 380
Conroe, TX 77304-2954
Phone (281) 240-4313

6750 N Macarthur Blvd
260 Dallas Associated Dermatologists
Irving, TX 75039-2489
Phone (214) 987-3376

Merit-based Incentive Payment System (MIPS)

Final score
83.77 of 100Reported as group
Quality
85.23
Promoting interoperability
85
Improvement activities
40
Cost
73.15

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision162
Removal of tissue1-10
Removal of skin lesions24
Removal of skin cancer984
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q8950TXMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PDP of Texas, PLLC Dermatology CurrentSince Oct 12, 2020 Accepting new patients
Michael Sonabend M.D., P.a. Dermatology CurrentSince Jul 1, 2021 Accepting new patients
Complete Labs PLLC CurrentSince Dec 15, 2024 Accepting new patients
Pediatric Dermatology of No. TX Past Accepting new patients

Locations

508 Medical Center Blvd
Ste 380
Conroe, TX 77304
Phone (281) 240-4313

9900 N Central Expy
Ste 500
Dallas, TX 75231
Phone (214) 692-1900

12700 Park Central Dr
Ste 1210
Dallas, TX 75251
Phone (702) 360-2763

4500 Washington Ave
Ste 250
Houston, TX 77007
Phone (281) 857-6870

6750 N MacArthur Blvd
Ste 260
Irving, TX 75039
Phone (214) 692-6566

21800 Katy Fwy
Ste 200
Katy, TX 77449
Phone (713) 771-1100

7000 Preston Rd
Ste 500
Plano, TX 75024

134 Vision Park Blvd
Ste 200
Shenandoah, TX 77384
Phone (281) 573-8333

431 E State Highway 114
Ste 300
Southlake, TX 76092
Phone (817) 251-6500

7616 Branford Pl
Ste 240
Sugar Land, TX 77479
Phone (281) 240-4313

Interoperability endpoints

  • Direct secure messaging: rmahmoudizad@completederm.emadirect.md

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1992084735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 N CENTRAL EXPY STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310928",
            "telephone_number": "214-987-3376",
            "fax_number": "469-532-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21800 KATY FWY STE 200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774497780",
            "telephone_number": "713-771-1100",
            "fax_number": "713-771-1545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 Medical Center Blvd Ste 380",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773042954",
            "country_code": "US",
            "telephone_number": "281-573-8333",
            "fax_number": "936-703-5323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHMOUDIZAD",
        "first_name": "ROD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-10",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "Q8950",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "Q8950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.