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MOHAMED O JEROUDI MD PA
NPI 1417094665
Internal Medicine - Cardiovascular Disease in Pasadena, TX

Active since January 30, 2007CLIA 45D1050600 · Waiver
5060 CRENSHAW ROAD, SUITE # 200, PASADENA, TX 77505(832) 230-3379(832) 230-3724 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 11, 2024, Mar 29, 2016, Jan 26, 2016 (3 updates tracked since 2016).

About Mohamed O Jeroudi Md Pa NPPES

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

MOHAMED O JEROUDI MD PA (NPI 1417094665) is a healthcare organization registered as a cardiovascular disease in Pasadena, Texas and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through February 6, 2028 and lists Mohamed O Jeroudi, President, as its authorized official.

NPPES Registry Identity

NPI1417094665
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameMOHAMED O JEROUDI MD PA
Location Address5060 CRENSHAW ROAD, SUITE # 200Pasadena, TX 77505-3047
Mailing Address5060 Crenshaw Rd, Suite # 200Pasadena, TX 77505-3047 · (832) 230-3379 · Fax (832) 230-3724
Phone(832) 230-3379
Fax(832) 230-3724
Organization SubpartNo
Authorized OfficialMohamed O JeroudiPresident · (832) 230-3379
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJune 11, 20243 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1417094665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in TX · J1701
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
5060 CRENSHAW ROAD, Pasadena, TX 77505
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohamed O Jeroudi Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Mohamed O Jeroudi MD PA, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Ahmad Jeroudi, MD
Cardiovascular Disease (Cardiology)
NPI 1649456336
5060 CRENSHAW RD SUITE 200
Pasadena, TX 77505
(832) 230-3379
✔ PECOS✔ Accepts Medicare0.3 mi
Mohamed Jeroudi, MD
Cardiovascular Disease (Cardiology)
NPI 1881672103
5060 CRENSHAW RD SUITE 200
Pasadena, TX 77505
(832) 230-3379
✔ PECOS✔ Accepts Medicare0.3 mi
Omar Jeroudi, MD
Cardiovascular Disease (Cardiology)
NPI 1982047676
17490 HIGHWAY 3 STE A300
Webster, TX 77598
(281) 724-9940
✔ PECOS✔ Accepts Medicare7.7 mi

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

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 45D1050600

Mohamed O Jeroudi MD PA · Pasadena, TX
Active · expires Feb 6, 2028
CLIA Number45D1050600
Laboratory TypeIndependent
Certificate Effective DateFebruary 7, 2026
Certificate Expiration DateFebruary 6, 2028
Laboratory DirectorMohamed O. Jeroudi
Laboratory Phone(713) 475-5940
Laboratory LocationMohamed O Jeroudi MD PA5060 Crenshaw Rd Suite 200, Pasadena, TX 77505
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Mohamed O Jeroudi MD PA's NPI number?

The NPI number for Mohamed O Jeroudi MD PA is 1417094665. It was assigned to this organization in the NPPES registry on January 30, 2007.

Where is Mohamed O Jeroudi MD PA located?

Mohamed O Jeroudi MD PA is located at 5060 Crenshaw Road Suite # 200, Pasadena, TX 77505. The listed phone number is (832) 230-3379.

What is Mohamed O Jeroudi MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Mohamed O Jeroudi MD PA enrolled in Medicare?

Yes. Mohamed O Jeroudi MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mohamed O Jeroudi MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Cardiovascular Disease (Cardiology), reassign their Medicare billing to Mohamed O Jeroudi MD PA. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mohamed O Jeroudi MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1050600) is associated with this NPI, valid through February 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mohamed O Jeroudi MD PA accept?

Health plans from WellPoint list Mohamed O Jeroudi MD PA 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.

When was this NPI record last updated?

The NPPES record for Mohamed O Jeroudi MD PA was last updated on June 11, 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.