DR. ANTOINE ANTONIOS MAKHLOUF M.D.
NPI 1376586537
Urology in Sugar Land, TX

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
1429 HIGHWAY 6 SOUTH, SUGAR LAND, TX 77478(713) 273-5845(713) 273-5820 Get Directions Write a Review

NPPES record last updated: November 29, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Antoine Antonios Makhlouf M.d. NPPES

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

DR. ANTOINE ANTONIOS MAKHLOUF M.D. (NPI 1376586537) is an individual urology provider in Sugar Land, Texas, licensed in Texas (N4571) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Matagorda Regional Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (2000).

NPPES Registry Identity

NPI1376586537
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. ANTOINE ANTONIOS MAKHLOUFCredential: M.D.
Location Address1429 HIGHWAY 6 SOUTHSugar Land, TX 77478-5135
Mailing AddressP O Box 460569Houston, TX 77056-8569 · (713) 781-4600 · Fax (713) 273-5820
Fax(713) 273-5820
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2000
Enumeration DateJune 14, 2006
Last NPPES UpdateNovember 29, 2012
NPI 1376586537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in TX · N4571 Licensed in IL · 036-113778
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1429 HIGHWAY 6 SOUTH, Sugar Land, TX 77478

Other Identifiers 1

Medicare PIN8L23910TX

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

Dr. Antoine Antonios Makhlouf 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 ID8325042369
PECOS Enrollment IDI20100128000772
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.

Areas of Expertise CMS Part B claims 22

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.

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.
930 services556 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
271 services197 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
271 services180 patients
Limited ultrasound scan of pelvis 76857
A limited ultrasound scan of the pelvis is a non-invasive imaging test. It uses high-frequency sound waves to create pictures of the lower abdomen area. This helps doctors view and assess the health of certain internal structures. It's painless and usually takes about 30 minutes.
269 services263 patients
Psa (prostate specific antigen) measurement, total 84153
PSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.
219 services164 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.
198 services149 patients

Hospital Affiliations CMS Care Compare 5

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

Matagorda Regional Medical Center

Acute Care Hospitals · Bay City, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450465
Location104 7th StreetBay City, TX 77414 · Matagorda County
Emergency services Birthing friendly

Hca Houston Healthcare West

Acute Care Hospitals · Houston, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450644
Location12141 Richmond AveHouston, TX 77082 · Harris County
Emergency services Birthing friendly

El Campo Memorial Hospital

Acute Care Hospitals · El Campo, TX
OwnershipVoluntary non-profit - Other
CMS Certification Number450694
Location303 Sandy Corner RdEl Campo, TX 77437 · Wharton County
Emergency services

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450820
Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

St Luke's Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number670053
Location1317 Lake Pointe ParkwaySugar Land, TX 77478 · Fort Bend County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77478 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%4,361 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
71%827 patients3/55-star benchmark: 100%
Falls: Risk Assessment
Percentage of patients aged 65 years and older with a history of falls that had a risk assessment for falls completed within 12 months
44%27 patients1/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
4%249 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
31%39 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
78%604 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
29%604 patients2/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
5 suppliers18 claims5,294 services$1.76 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
4 suppliers13 claims46 services$7.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Specialist
1429 HIGHWAY 6 SOUTH, STE 103
SUGAR LAND, TX 77478
Family Medicine
1429 HIGHWAY 6 SOUTH
SUGAR LAND, TX 77478
Internal Medicine
1429 HIGHWAY 6 SOUTH, SUITE 206
SUGAR LAND, TX 77478

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 Antoine Makhlouf's NPI number?

The NPI number for Antoine Makhlouf is 1376586537. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Antoine Makhlouf located?

Antoine Makhlouf practices at 1429 Highway 6 South, Sugar Land, TX 77478. The listed phone number is (713) 273-5845.

What is Antoine Makhlouf's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Antoine Makhlouf enrolled in Medicare?

Yes. Antoine Makhlouf 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 Antoine Makhlouf accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Antoine Makhlouf 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 Antoine Makhlouf affiliated with any hospitals?

According to CMS data, Antoine Makhlouf is affiliated with Matagorda Regional Medical Center, Hca Houston Healthcare West, El Campo Memorial Hospital, Houston Methodist Sugarland Hospital and St Luke's Sugar Land Hospital.

When was this NPI record last updated?

The NPPES record for Antoine Makhlouf was last updated on November 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.