Individual provider Active NPI

Idris Gharbaoui, M.D.

  • Orthopaedic Surgery Physician
  • Houston, TX
National Provider Identifier
1992731392
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
M0087 Issued in TX
Practice address
7401 S. Main
Houston, TX 77030
Phone
(713) 799-2300
Fax
(713) 794-3380
NPI assigned
Jun 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X M0087 TX Primary

Addresses

Primary practice location

7401 S. Main
Houston, TX 77030

Mailing address

7401 S. Main
Houston, TX 77030
Phone (713) 799-2300

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
I20040727000800 TX Practitioner - Orthopedic SurgeryPractitioner - Pediatric Medicine 0345210597 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Pediatric Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shea Physical Therapy Specialists LLCGroup PAC ID 6204245194, 194 clinicians
Ortholonestar PLLCGroup PAC ID 9931529062, 416 clinicians

Practice addresses (Care Compare)

5440 Everhart Rd
Suite 1
Corpus Christi, TX 78411-4838
Phone (361) 994-5224

7401 Main St
Houston, TX 77030-4509
Phone (713) 799-2300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M0087TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ortholonestar, PLLC Orthopaedic Surgery CurrentSince Oct 1, 2020 Accepting new patients
Shriners Hospitals for Children CurrentSince Aug 17, 2013 Accepting new patients
Fondren Orthopedic Group L.L.P. Orthopaedic Surgery Current Accepting new patients
Ortholonestar, PLLC Orthopaedic Surgery CurrentSince Oct 1, 2020 Accepting new patients
Shriners Hospitals for Children CurrentSince Aug 17, 2013 Accepting new patients

Locations

2635 W Baker Rd
Baytown, TX 77521
Phone (281) 337-8550

3800 Gaylord Pkwy
Ste 710
Frisco, TX 75034

815 Market St
Galveston, TX 77550
Phone (409) 770-6600

7401 Main St
Houston, TX 77030
Phone (713) 799-8600

Interoperability endpoints

  • Direct secure messaging: idris.gharbaoui.1@15533.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1992731392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 S. MAIN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-799-2300",
            "fax_number": "713-794-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 S. MAIN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-799-2300",
            "fax_number": "713-794-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHARBAOUI",
        "first_name": "IDRIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "M0087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.