DR. FADY ELIAS EL-SAGHBINI M.D.
NPI 1245427020
Internal Medicine - Infectious Disease in Houston, TX

Q: What is Fady El-saghbini's NPI number?

The NPI number for Fady El-saghbini is 1245427020. It was assigned to this individual provider in the NPPES registry on September 26, 2007.

Q: What is Fady El-saghbini's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Fady El-saghbini was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since September 26, 2007PECOS EnrolledAccepts Medicare Assignment

51.55/100

CMS Quality Rating

12025 LOUETTA RD STE B, HOUSTON, TX 77070(281) 251-7888 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 4, 2025, Jul 25, 2019 (2 updates tracked since 2019).

On this page

About Dr. Fady Elias El-saghbini M.d. NPPES

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

DR. FADY ELIAS EL-SAGHBINI M.D. (NPI 1245427020) is an individual infectious disease provider in Houston, Texas, licensed in Texas (N2483) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Kingwood, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1245427020

Entity TypeIndividualMale

Primary Taxonomy207RI0200X

Provider Legal NameDR. FADY ELIAS EL-SAGHBINICredential: M.D.

Location Address12025 LOUETTA RD STE BHouston, TX 77070-1149

Mailing Address12025 Louetta Rd Ste BHouston, TX 77070-1149 · (281) 251-7888

Phone(281) 251-7888

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateSeptember 26, 2007

Last NPPES UpdateDecember 4, 20252 updates tracked since enumeration

NPPES CertifiedDecember 4, 2025

✔ NPI 1245427020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in TX · N2483

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

12025 LOUETTA RD STE B, Houston, TX 77070

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Secondary Practice Location 1

Location 112025 Louetta Rd Ste DHouston, TX 77070-1149 · Phone (281) 251-7888

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, WellPoint.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

Dr. Fady Elias El-saghbini 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 ID8426112509

PECOS Enrollment IDI20090730000012

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.

Medicare Billing Reassignments

Medicare enrollment records show Fady El-saghbini reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Houston NW Id Specialists PA

Same address

Infectious Disease

12025 LOUETTA RD STE D
Houston, TX 77070

Reassigned Medicare billing, Texas enrollment
3 clinicians in this Medicare group

NPI 1932468402 (281) 251-7888

Infectious Diseases & Travel Medicine Specialist PA

Same address

Specialist

12025 LOUETTA RD STE B
Houston, TX 77070

Reassigned Medicare billing, Texas enrollment
3 clinicians in this Medicare group

NPI 1891907531 (281) 215-7888

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

Areas of Expertise CMS Part B claims 12

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

2,852 services574 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

606 services481 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

250 services132 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

185 services172 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

106 services47 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

71 services29 patients

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.

54 services39 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

33 services20 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

30 services13 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

15 services15 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.

12 services11 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Houston Healthcare Kingwood

Acute Care Hospitals · Kingwood, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450775

Location22999 Us Hwy 59Kingwood, TX 77325 · Harris County

Emergency services Birthing friendly

Houston Methodist Willowbrook Hospital

Acute Care Hospitals · Houston, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450844

Location18220 State Highway 249Houston, TX 77070 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77070 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.

51.55/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

71.07

Improvement Activities

Cost

53.61

Other Providers at the Same Location NPPES 3

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

RAJENDRA G PANDYA M.D

Internal Medicine (Infectious Disease)

12025 LOUETTA RD STE B
HOUSTON, TX 77070

Harris County (281) 251-7888

DR. BRIJESH RAVAL MD

Internal Medicine (Infectious Disease)

12025 LOUETTA RD STE B
HOUSTON, TX 77070

Harris County (281) 251-7888

INFECTIOUS DISEASES & TRAVEL MEDICINE SPECIALIST PA

Specialist

12025 LOUETTA RD STE B
HOUSTON, TX 77070

Harris County (281) 215-7888

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 Fady El-saghbini's NPI number?

The NPI number for Fady El-saghbini is 1245427020. It was assigned to this individual provider in the NPPES registry on September 26, 2007.

Where is Fady El-saghbini located?

Fady El-saghbini practices at 12025 Louetta Rd Ste B, Houston, TX 77070. The listed phone number is (281) 251-7888.

What is Fady El-saghbini's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Fady El-saghbini enrolled in Medicare?

Yes. Fady El-saghbini 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 Fady El-saghbini's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fady El-saghbini reassigns Medicare benefits to 2 organizations: Houston NW Id Specialists PA (Houston, TX) and Infectious Diseases & Travel Medicine Specialist PA (Houston, 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 Fady El-saghbini's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fady El-saghbini accept?

Health plans from Blue Cross and Blue Shield of Texas and WellPoint list Fady El-saghbini 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 Fady El-saghbini affiliated with any hospitals?

According to CMS data, Fady El-saghbini is affiliated with Hca Houston Healthcare Kingwood and Houston Methodist Willowbrook Hospital.

When was this NPI record last updated?

The NPPES record for Fady El-saghbini was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.