Individual provider Active NPI

Syed Muhammad Ali Ahmed Jilani, MD

  • Internal Medicine Physician
  • Vidor, TX
National Provider Identifier
1992383608
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
U8746 Issued in TX
Practice address
2353 N Main St
Vidor, TX 77662-2610
Phone
(409) 813-1677
Fax
(409) 422-4997
NPI assigned
Apr 1, 2021
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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 U8746 TX Primary

Addresses

Primary practice location

2353 N Main St
Vidor, TX 77662-2610

Mailing address

3406 College St Ste 200
Beaumont, TX 77701-4612
Phone (409) 813-1677

Other practice location 1

3080 College St
Beaumont, TX 77701-4606
Phone (409) 813-1677

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
I20240820001680 TX Practitioner - Internal Medicine 7911445036 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Diagnostic Group Integrated Healthcare System, PLLCGroup PAC ID 1557506383, 34 clinicians

Practice addresses (Care Compare)

2353 N Main St
Diag GRP Vidor Fam Clin
Vidor, TX 77662-2610
Phone (409) 813-1677

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U8746TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Group Integrated Healthcare System PLLC Internal Medicine CurrentSince Aug 19, 2025 Accepting new patients
Golden Triangle Internal Medicine PA Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients

Locations

3080 College St
Beaumont, TX 77701
Phone (409) 212-5000

3080 Milam St
Beaumont, TX 77701
Phone (409) 347-3621

3282 College St
Beaumont, TX 77701
Phone (409) 212-5000

3406 College St
Ste 200
Beaumont, TX 77701
Phone (409) 730-2022

288 Country Lane Dr
Lumberton, TX 77657
Phone (409) 227-4413

2200 Highway 365
Nederland, TX 77627
Phone (409) 722-4321

2353 N Main St
Vidor, TX 77662

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGCCAA

Organizations & group practices 2

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 3

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": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1992383608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 COLLEGE ST STE 200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014612",
            "telephone_number": "409-813-1677",
            "fax_number": "409-736-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2353 N MAIN ST",
            "city": "VIDOR",
            "state": "TX",
            "postal_code": "776622610",
            "telephone_number": "409-813-1677",
            "fax_number": "409-422-4997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3080 College St",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777014606",
            "country_code": "US",
            "telephone_number": "409-813-1677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JILANI",
        "first_name": "SYED MUHAMMAD ALI",
        "middle_name": "AHMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-01",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U8746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vidor, TX

Sources for this page

Verify at the official NPI Registry.