FAIRWAY MEDICAL CLINIC
NPI 1164679494
Internal Medicine in Houston, TX
About Fairway Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAIRWAY MEDICAL CLINIC (NPI 1164679494) is a healthcare organization registered as an internal medicine in Houston, Texas and active in the NPI registry since August 2008. The organization holds 2 active CLIA laboratory certificates and lists Murtaza Mussaji, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fairway Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Fairway Medical Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D1087988
Fairway Medical Clinic · Houston, TXCertificate of Waiver 45D2160622
Fairway Medical Clinic II · Houston, TXFrequently 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 Murtaza Mussaji, D.O., P.A.'s NPI number?
The NPI number for Murtaza Mussaji, D.O., P.A. is 1164679494. It was assigned to this organization in the NPPES registry on August 18, 2008. The provider is doing business as Fairway Medical Clinic.
Where is Murtaza Mussaji, D.O., P.A. located?
Murtaza Mussaji, D.O., P.A. is located at 4910 Telephone Rd, Houston, TX 77087. The listed phone number is (713) 641-3900.
What is Murtaza Mussaji, D.O., P.A.'s specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Murtaza Mussaji, D.O., P.A. enrolled in Medicare?
Yes. Murtaza Mussaji, D.O., P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Murtaza Mussaji, D.O., P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Murtaza Mussaji, D.O., P.A.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Murtaza Mussaji, D.O., P.A. hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Murtaza Mussaji, D.O., P.A. was last updated on August 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Fairway Medical Clinic · NPI 1164679494
Internal Medicine organization in Houston, Texas. Organization record, active in the CMS NPPES registry since August 18, 2008.
## Identity
- **NPI:** 1164679494 (Entity type: Organization)
- **Enumerated:** August 18, 2008
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Murtaza Mussaji, D.o., P.a.
- **Organization subpart:** No
- **Authorized official:** Murtaza Mussaji, PRESIDENT
## Practice location
- **Address:** 4910 TELEPHONE RD, Houston, TX 77087-3504
- **Phone:** (713) 641-3900 · **Fax:** (713) 641-3901
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 25, 2011
- **Other identifiers:** Medicare PIN 8F20711 (TX)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164679494) · Data from the CMS NPPES public registry.