MR. LEDIAN MEMUSHAJ AGACNP
NPI 1285308197
Nurse Practitioner - Acute Care in Houston, TX

Q: What is Ledian Memushaj's NPI number?

The NPI number for Ledian Memushaj is 1285308197. It was assigned to this individual provider in the NPPES registry on August 4, 2021.

Q: What is Ledian Memushaj's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Ledian Memushaj was last updated on July 27, 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.

Active since August 04, 2021PECOS EnrolledAccepts Medicare Assignment

82.38/100

CMS Quality Rating

6400 FANNIN ST, HOUSTON, TX 77030(713) 704-3691 Get Directions Write a Review

NPPES record last updated: July 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 27, 2024, Aug 4, 2021 (2 updates tracked since 2021).

On this page

About Mr. Ledian Memushaj Agacnp NPPES

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

MR. LEDIAN MEMUSHAJ AGACNP (NPI 1285308197) is an individual acute care provider in Houston, Texas, licensed in Texas (1049201) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1285308197

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameMR. LEDIAN MEMUSHAJCredential: AGACNP

Location Address6400 FANNIN STHouston, TX 77030-1521

Mailing Address6400 Fannin St Ste 2900Houston, TX 77030-1555 · (806) 441-4638

Phone(713) 704-3691

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 4, 2021

Last NPPES UpdateJuly 27, 20242 updates tracked since enumeration

NPPES CertifiedJuly 27, 2024

✔ NPI 1285308197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TX · 1049201

Also ListedTrainTaxonomy 347D00000X · License 1049201 (TX)

6400 FANNIN ST, Houston, TX 77030

Open in Google Maps ↗

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

Mr. Ledian Memushaj Agacnp 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 ID4981001682

PECOS Enrollment IDI20210923000050

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.

Hospital Affiliations CMS Care Compare

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450068

Location6411 FanninHouston, TX 77030 · 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

$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.

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.

82.38/100

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

Scored as part of a group practice

Quality

79.23

Promoting Interoperability

100

Improvement Activities

Cost

58.5

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.

TEXAS MEDICAL CENTER DENTAL

Dentist (General Practice)

6400 FANNIN ST, SUITE 2040
HOUSTON, TX 77030

Harris County (713) 795-0608

SCOTT JAMES RYAN MD

Surgery (Vascular Surgery)

6400 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 486-5100

KRISTIN WHANGER PACINI PA

Physician Assistant (Surgical)

6400 FANNIN ST, 1700
HOUSTON, TX 77030

Harris County (713) 486-1800

DR. RANA OMAR AFIFI MD

Surgery (Vascular Surgery)

6400 FANNIN ST, SUITE NUMBER 2850
HOUSTON, TX 77030

Harris County (713) 486-5100

DR. MICHAEL S SWEENEY M.D.,

Thoracic Surgery (Cardiothoracic Vascular Surgery)

6400 FANNIN ST, STE 3000
HOUSTON, TX 77030

Harris County (713) 790-0841

BAYLOR COLLEGE OF MEDICINE, DEPARTMENT OF ORTHOPEDIC SURGERY

Orthopaedic Surgery

6400 FANNIN ST, SUITE 1620
HOUSTON, TX 77030

Harris County (713) 740-2200

TARA L WEGRYN MD PA

Specialist

6400 FANNIN ST, SUITE 2295
HOUSTON, TX 77030

Harris County (713) 791-9778

JORDANNA ESPANOLA MSN, RN, FNP-C

Nurse Practitioner (Family)

6400 FANNIN ST, SUITE 1400
HOUSTON, TX 77030

Harris County (281) 914-9756

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 Ledian Memushaj's NPI number?

The NPI number for Ledian Memushaj is 1285308197. It was assigned to this individual provider in the NPPES registry on August 4, 2021.

Where is Ledian Memushaj located?

Ledian Memushaj practices at 6400 Fannin St, Houston, TX 77030. The listed phone number is (713) 704-3691.

What is Ledian Memushaj's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Ledian Memushaj enrolled in Medicare?

Yes. Ledian Memushaj 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 Ledian Memushaj accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Ledian Memushaj 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 Ledian Memushaj affiliated with any hospitals?

According to CMS data, Ledian Memushaj is affiliated with Memorial Hermann - Texas Medical Center.

When was this NPI record last updated?

The NPPES record for Ledian Memushaj was last updated on July 27, 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.