PAYAM GHADERI AA
NPI 1124650908
Anesthesiologist Assistant in Houston, TX

Active since February 10, 2020Accepts Medicare Assignment
6720 BERTNER AVE, HOUSTON, TX 77030(823) 355-2666 Get Directions Write a Review

NPPES record last updated: May 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 27, 2023, Aug 3, 2021, May 5, 2021 and 1 more (4 updates tracked since 2020).

About Payam Ghaderi Aa NPPES

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

PAYAM GHADERI AA (NPI 1124650908) is an individual anesthesiologist assistant in Houston, Texas, licensed in Texas (32697617) and active in the NPI registry since February 2020. He is affiliated with Ad Hospital East, Llc, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1124650908
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NamePAYAM GHADERICredential: AA
Location Address6720 BERTNER AVEHouston, TX 77030-2604
Mailing Address6720 Bertner AveHouston, TX 77030-2604 · (823) 355-2666
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 10, 2020
Last NPPES UpdateMay 27, 20234 updates tracked since enumeration
NPPES CertifiedMay 27, 2023
✔ NPI 1124650908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in TX · 32697617
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
6720 BERTNER AVE, Houston, TX 77030

Secondary Practice Locations 2

Location 11500 Citywest Blvd Ste 300Houston, TX 77042-2549 · Phone (972) 715-5000
Location 26606 Lbj Fwy Ste 200Dallas, TX 75240-6524 · Phone (972) 715-5000 · Fax (972) 715-9976

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Payam Ghaderi Aa 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 ID7315369287
PECOS Enrollment IDI20200623000624

Medicare Billing Reassignments

5

Medicare enrollment records show Payam Ghaderi reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Genetics, Ph.D. Medical Genetics
7200 CAMBRIDGE ST FL 10
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,554 clinicians in this Medicare group
Anesthesiology
510 W TIDWELL RD
Houston, TX 77091
  • Reassigned Medicare billing, Texas enrollment
  • 319 clinicians in this Medicare group
Anesthesiology
333 N TEXAS AVE
Webster, TX 77598
  • Reassigned Medicare billing, Texas enrollment
  • 403 clinicians in this Medicare group
Anesthesiology
16750 RED OAK DR
Houston, TX 77090
  • Reassigned Medicare billing, Texas enrollment
  • 98 clinicians in this Medicare group
Anesthesiology
421 E STATE HIGHWAY 114
Southlake, TX 76092
  • Reassigned Medicare billing, Texas enrollment
  • 195 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Ad Hospital East, LLC

Acute Care Hospitals · Houston, TX
OwnershipProprietary
CMS Certification Number670102
Location12950 East Freeway, Suite 100Houston, TX 77015 · Harris County
Emergency services

Altus Baytown Hospital

Acute Care Hospitals · Baytown, TX
OwnershipPhysician
CMS Certification Number670109
Location1626 W Baker RoadBaytown, TX 77521 · Harris County
Emergency services

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.

Anesthesiology
6720 BERTNER AVE
HOUSTON, TX 77030
Radiology (Vascular & Interventional Radiology)
6720 BERTNER AVE
HOUSTON, TX 77030
Internal Medicine (Critical Care Medicine)
6720 BERTNER AVE
HOUSTON, TX 77030
Anesthesiology
6720 BERTNER AVE
HOUSTON, TX 77030
Internal Medicine
6720 BERTNER AVE
HOUSTON, TX 77030
Nurse Anesthetist, Certified Registered
6720 BERTNER AVE
HOUSTON, TX 77030
Anesthesiologist Assistant
6720 BERTNER AVE
HOUSTON, TX 77030
Anesthesiology
6720 BERTNER AVE
HOUSTON, TX 77030

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 Payam Ghaderi's NPI number?

The NPI number for Payam Ghaderi is 1124650908. It was assigned to this individual provider in the NPPES registry on February 10, 2020.

Where is Payam Ghaderi located?

Payam Ghaderi practices at 6720 Bertner Ave, Houston, TX 77030. The listed phone number is (823) 355-2666.

What is Payam Ghaderi's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Payam Ghaderi enrolled in Medicare?

Yes. Payam Ghaderi 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.

Which organizations bill Medicare for Payam Ghaderi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Payam Ghaderi reassigns Medicare benefits to 5 organizations: Baylor College Of Medicine (Houston, TX), Dynamic Anesthesia Providers PLLC (Houston, TX), Compass Anesthesia Providers PLLC (Webster, TX), Apex Frontier Group, PLLC (Houston, TX) and Champion Anesthesia Consultants, PLLC (Southlake, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Payam Ghaderi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Payam Ghaderi accept?

Health plans from Blue Cross and Blue Shield of Texas list Payam Ghaderi 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 Payam Ghaderi affiliated with any hospitals?

According to CMS data, Payam Ghaderi is affiliated with Ad Hospital East, LLC and Altus Baytown Hospital.

When was this NPI record last updated?

The NPPES record for Payam Ghaderi was last updated on May 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.