MR. MUSTAK MANSUR MOMIN M.D.
NPI 1124142609
Pediatrics in Pasadena, TX

Active since March 19, 2007PECOS EnrolledAccepts Medicare Assignment
908 SOUTHMORE AVE, SUITE # 340, PASADENA, TX 77502(713) 477-0400(713) 477-2711 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Mustak Mansur Momin M.d. NPPES

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

MR. MUSTAK MANSUR MOMIN M.D. (NPI 1124142609) is an individual pediatrics provider in Pasadena, Texas, licensed in Texas (K7457) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (1996).

NPPES Registry Identity

NPI1124142609
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMR. MUSTAK MANSUR MOMINCredential: M.D.
Location Address908 SOUTHMORE AVE, SUITE # 340Pasadena, TX 77502-1134
Mailing Address13411 Golden Field DrHouston, TX 77059-2834 · (281) 461-4865 · Fax (281) 461-4865
Fax(713) 477-2711
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1996
Enumeration DateMarch 19, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1124142609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in TX · K7457
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

908 SOUTHMORE AVE, Pasadena, TX 77502

Other Identifiers 3

Medicare UPINH22814TX
MedicaidP000178Y5TX
Other8620N6TX · National Provider Identif

Accepted 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

Mr. Mustak Mansur Momin M.d. 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 ID4880121755
PECOS Enrollment IDI20241217003048
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77502 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 8

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

Clinic/Center (Federally Qualified Health Center (FQHC))
908 SOUTHMORE AVE, STE 100
PASADENA, TX 77502
Family Medicine
908 SOUTHMORE AVE, SUITE 100
PASADENA, TX 77502
908 SOUTHMORE AVE, STE 270
PASADENA, TX 77502
Dentist (General Practice)
908 SOUTHMORE AVE, 180
PASADENA, TX 77502
Physician Assistant
908 SOUTHMORE AVE, SUITE 130
PASADENA, TX 77502
Pediatrics
908 SOUTHMORE AVE, SUITE 350
PASADENA, TX 77502
Family Medicine
908 SOUTHMORE AVE, SUITE 130
PASADENA, TX 77502
Nurse Practitioner (Family)
908 SOUTHMORE AVE, 100
PASADENA, TX 77502

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124142609, enumerated as an "individual" on March 19, 2007.

The provider is located at 908 SOUTHMORE AVE SUITE # 340 PASADENA, TX 77502 and the phone number is (713) 477-0400.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Oscar. Please consult your insurance carrier or call the provider to verify.