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

NPI Status: Active since January 30, 2007

Contact Information

5060 CRENSHAW ROAD
SUITE # 200
PASADENA, TX
ZIP 77505
Phone: (832) 230-3379
Fax: (832) 230-3724

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  • Organization
  • Internal Medicine
  • Cardiovascular Disease
  • Accepts Insurance
  • CLIA Number: 45D1050600
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 02-06-2028

About MOHAMED O JEROUDI MD PA

This page provides the complete NPI Profile along with additional information for Mohamed O Jeroudi Md Pa, an internist established in Pasadena, Texas operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1417094665 assigned on January 2007. The practitioner's primary taxonomy code is 207RC0000X with license number J1701 (TX). The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Mohamed O Jeroudi Md (President)

NPI
1417094665
Provider Name
MOHAMED O JEROUDI MD PA
Entity Type
Organization
Location Address
5060 CRENSHAW ROAD SUITE # 200 PASADENA, TX 77505
Location Phone
(832) 230-3379
Location Fax
(832) 230-3724
Mailing Address
5060 CRENSHAW RD SUITE # 200 PASADENA, TX 77505
Mailing Phone
(832) 230-3379
Mailing Fax
(832) 230-3724
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-30-2007
Last Update Date
06-11-2024
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An internist like Mohamed O Jeroudi Md Pa is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
License No.
J1701
License State
TX
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Core 1640 Plus with Adult Vision - HMO
  • Molina Gold Saver 750 - HMO
  • Molina Gold Saver 750 Plus with Adult Dental and Vision - HMO
  • Molina Gold Saver 750 Plus with Adult Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Molina Silver Saver with Four Free PCP Visits - HMO
  • Molina Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MOHAMED O JEROUDI MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(832) 230-3379

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D1050600
Facility Type
Independent
Certificate Effective Date
February 07, 2026
Certificate Expiration Date
February 06, 2028
Laboratory Director
MOHAMED O. JEROUDI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mohamed O Jeroudi Md Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1417094665, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
0
Doubled → 0
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 2 + 7 + 0 + 9 + 8 + 6 + 1 + 2 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1417094665.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417094665, enumerated as an "organization" on January 30, 2007.

The provider is located at 5060 CRENSHAW ROAD SUITE # 200 PASADENA, TX 77505 and the phone number is (832) 230-3379.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.