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DR. LAYLA ABUSHAMAT M.D., M.P.H.
NPI 1114306669
Internal Medicine - Endocrinology, Diabetes & Metabolism in Houston, TX

Active since May 28, 2015PECOS EnrolledAccepts Medicare Assignment
84.05/100
CMS Quality Rating
7200 CAMBRIDGE ST, HOUSTON, TX 77030(713) 798-1000 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2022, Jul 13, 2018, Jul 3, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Layla Abushamat M.d., M.p.h. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LAYLA ABUSHAMAT M.D., M.P.H. (NPI 1114306669) is an individual endocrinology, diabetes & metabolism provider in Houston, Texas, licensed in Texas (T2095) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Harris Health System, and is a graduate of Tulane University School Of Medicine (2015).

NPPES Registry Identity

NPI1114306669
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. LAYLA ABUSHAMATCredential: M.D., M.P.H.
Location Address7200 CAMBRIDGE STHouston, TX 77030-4202
Mailing Address7200 Cambridge St Ste 6bHouston, TX 77030-4202 · (713) 798-2545 · Fax (713) 798-2578
Phone(713) 798-1000
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2015
Enumeration DateMay 28, 2015
Last NPPES UpdateJanuary 12, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2024
✔ NPI 1114306669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in TX · T2095✔ Licensed in CO · TL0007365
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License TRN# 22096 (FL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
7200 CAMBRIDGE ST, Houston, TX 77030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Layla Abushamat M.d., M.p.h. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365757101
PECOS Enrollment IDI20211020000137
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
56 services37 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.49
Improvement Activities40
Cost54.39

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HANNAH LANE COMBS PHD
Clinical Neuropsychologist
7200 CAMBRIDGE ST
HOUSTON, TX 77030
Harris County (713) 798-6177
DR. LU LIN M.D., PH.D.
Psychiatry & Neurology (Neurology)
7200 CAMBRIDGE ST, SUITE 9A
HOUSTON, TX 77030
Harris County (713) 798-2273
LAILA NOORUDDIN A.P.N.
Nurse Practitioner
7200 CAMBRIDGE ST
HOUSTON, TX 77030
Harris County (713) 798-1000
DR. FRIEDRICH-CARL EBERHARD VON RUNDSTEDT M.D.
Student in an Organized Health Care Education/Training Program
7200 CAMBRIDGE ST, BAYLOR COLLEGE OF MEDICINE DEPARTMENT OF UROLOGY
HOUSTON, TX 77030
Harris County (713) 798-6841
ARASH KARDAN MD
Radiology (Nuclear Radiology)
7200 CAMBRIDGE ST
HOUSTON, TX 77030
Harris County (713) 798-3924
DR. JACOB JOSEPH MANDEL M.D.
Psychiatry & Neurology (Neurology)
7200 CAMBRIDGE ST, 9TH FLOOR
HOUSTON, TX 77030
Harris County (713) 798-8259
ANGELICA MILLER FNP-C
Nurse Practitioner (Family)
7200 CAMBRIDGE ST
HOUSTON, TX 77030
Harris County (713) 798-1000
MR. BRIAN DAVID LEPOW DPM
Podiatrist (Foot & Ankle Surgery)
7200 CAMBRIDGE ST, SUITE 6B
HOUSTON, TX 77030
Harris County (713) 798-5700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Layla Abushamat's NPI number?

The NPI number for Layla Abushamat is 1114306669. It was assigned to this individual provider in the NPPES registry on May 28, 2015.

Where is Layla Abushamat located?

Layla Abushamat practices at 7200 Cambridge St, Houston, TX 77030. The listed phone number is (713) 798-1000.

What is Layla Abushamat's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Layla Abushamat enrolled in Medicare?

Yes. Layla Abushamat is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Layla Abushamat accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Layla Abushamat as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Layla Abushamat affiliated with any hospitals?

According to CMS data, Layla Abushamat is affiliated with Harris Health System.

When was this NPI record last updated?

The NPPES record for Layla Abushamat was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.