NPIMap

Individual provider Active NPI

Ilyas M Memon, MD

  • Gastroenterology Physician
  • The Woodlands, TX
National Provider Identifier
1992762033
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
M2655 Issued in TX
Practice address
26103 Interstate 45
Suite 100
The Woodlands, TX 77380-1902
Phone
(281) 764-9500
Fax
(281) 764-9501
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X M2655 TX Primary

Addresses

Primary practice location

26103 Interstate 45
Suite 100
The Woodlands, TX 77380-1902

Mailing address

26103 Interstate 45
Suite 100
The Woodlands, TX 77380-1902
Phone (281) 764-9500

Other identifiers 1

IdentifierTypeStateIssuer
188779606MedicaidTX

Other names 1

  • Muhammad Ilyas Hussain Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070615000490 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 1759314412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Digestive Disease Consultants, PLLCGroup PAC ID 3375531379, 616 clinicians

Practice addresses (Care Compare)

201 Kingwood Medical Dr
Suite B100
Kingwood, TX 77339-6010
Phone (281) 764-9500

Hospital & facility affiliations

  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122
  • HCA Houston Healthcare Conroe Hospital, Conroe, TX, CCN 450222
  • St Luke'S the Woodlands Hospital Hospital, The Woodlands, TX, CCN 450862
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Aspire Hospital Hospital, Conroe, TX, CCN 670093

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
66.51
Promoting interoperability
98
Improvement activities
40
Cost
71.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy120
Upper gastrointestinal (GI) endoscopy for acid reflux122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M2655TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC Gastroenterology Current Accepting new patients
Texas Digestive Disease Consultants PLLC Gastroenterology CurrentSince Nov 27, 2017 Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology CurrentSince Nov 27, 2017 Accepting new patients
Mint Anesthesia, PLLC PastSince Aug 17, 2015 Accepting new patients
LSM Solutions LLC Past Accepting new patients
Digestive and Liver Diseases Clinic PA Gastroenterology PastSince Sep 15, 2006 Accepting new patients

Locations

146 E Hospital Dr
Ste 207
Angleton, TX 77515
Phone (713) 436-8166

500 Medical Center Blvd
Ste 240
Conroe, TX 77304
Phone (936) 224-4134

18220 Tomball Pkwy
Ste 290
Houston, TX 77070
Phone (281) 807-6800

701 Tuscan Dr
Ste 110
Irving, TX 75039
Phone (214) 496-1100

601 S Main St
Keller, TX 76248
Phone (817) 741-4347

201 Kingwood Medical Dr
Ste B100
Kingwood, TX 77339
Phone (281) 764-9500

1010 Ranch Road 620 S
Ste 107
Lakeway, TX 78734
Phone (512) 233-4607

6910 FM 1488 Rd
Ste 9
Magnolia, TX 77354
Phone (832) 241-2001

5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860

26103 Interstate 45
Ste 100
The Woodlands, TX 77380
Phone (280) 583-5000

888 Graham Dr
Tomball, TX 77375
Phone (281) 897-8866

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 11

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1992762033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26103 INTERSTATE 45",
            "address_2": "SUITE 100",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801902",
            "telephone_number": "281-764-9500",
            "fax_number": "281-764-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26103 INTERSTATE 45",
            "address_2": "SUITE 100",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801902",
            "telephone_number": "281-764-9500",
            "fax_number": "281-764-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEMON",
        "first_name": "ILYAS",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "M2655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188779606",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MUHAMMAD",
            "last_name": "HUSSAIN",
            "middle_name": "ILYAS",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.