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DR. NILOUFAR GHADIRI M.D.
NPI 1629159652
Internal Medicine in Houston, TX

Active since October 18, 2006PECOS EnrolledAccepts Medicare Assignment
2002 HOLCOMBE BLVD, HOUSTON, TX 77030(713) 791-1414 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Niloufar Ghadiri M.d. NPPES

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

DR. NILOUFAR GHADIRI M.D. (NPI 1629159652) is an individual internal medicine provider in Houston, Texas, licensed in Texas (M2958) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1629159652
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. NILOUFAR GHADIRICredential: M.D.
Location Address2002 HOLCOMBE BLVDHouston, TX 77030-4211
Mailing Address14903 El Camino RealHouston, TX 77062-2603 · (713) 363-7640
Phone(713) 791-1414
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateOctober 18, 2006
Last NPPES UpdateMarch 17, 2018
✔ NPI 1629159652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · M2958
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2002 HOLCOMBE BLVD, Houston, TX 77030
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Secondary Practice Location 1

Location 12002 Holcombe BlvdHouston, TX 77030-4211 · Phone (713) 791-1414 ext. 4692

Other Identifiers 1

Medicaid342066302TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice, Molina Healthcare, WellPoint.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. Niloufar Ghadiri 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 ID8123284098
PECOS Enrollment IDI20141111002302
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 11

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 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.
452 services245 patients
Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes 99421
This service involves a week-long digital assessment of your health status. It's conducted online by your healthcare provider, focusing on managing your existing health condition. The process takes 5-10 minutes of your time daily, ensuring optimal health management.
204 services113 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
195 services107 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.
182 services125 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
128 services128 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
74 services71 patients

Hospital Affiliations CMS Care Compare 4

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

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Houston Methodist Baytown Hospital

Acute Care Hospitals · Baytown, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450424
Location4401 Garth RoadBaytown, TX 77521 · Harris County
Emergency services Birthing friendly

Hca Houston Healthcare Clear Lake

Acute Care Hospitals · Webster, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450617
Location500 W Medical Center BlvdWebster, TX 77598 · Harris County
Emergency services Birthing friendly

Houston Methodist Clear Lake Hospital

Acute Care Hospitals · Nassau Bay, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450709
Location18300 Houston Methodist DrNassau Bay, TX 77058 · 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
$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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers37 claims122 services$6.12 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers15 claims20 services$1.07 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers17 claims99 services$1.65 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers48 claims48 services$25.05 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$200.12 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 20

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

MR. ASHLEY SHAQUELLE MITCHELL LMSW
Social Worker
2002 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 791-1414
MR. PAUL EDWARD WHITE RN
Registered Nurse
2002 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 794-7559
ELWYN WAYNE WELCH PHARMD
Pharmacist
2002 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 791-1414
ANNA LEE
Psychologist (Clinical)
2002 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 791-1414
EMILY KALANTAR PHD
Psychologist (Clinical)
2002 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 791-1414
MRS. JENNAN SWAFFORD RN, MSN
Registered Nurse (Psychiatric/Mental Health, Adult)
2002 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 791-1414
ANITA JEAN WHITEHEAD M.A.
Speech-Language Pathologist
2002 HOLCOMBE BLVD, 126
HOUSTON, TX 77030
Harris County (713) 794-7112
BENITA P WILLIAMS
Specialist/Technologist, Pathology (Hematology)
2002 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 794-7335

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 Niloufar Ghadiri's NPI number?

The NPI number for Niloufar Ghadiri is 1629159652. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Niloufar Ghadiri located?

Niloufar Ghadiri practices at 2002 Holcombe Blvd, Houston, TX 77030. The listed phone number is (713) 791-1414.

What is Niloufar Ghadiri's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Niloufar Ghadiri enrolled in Medicare?

Yes. Niloufar Ghadiri 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 Niloufar Ghadiri accept?

Health plans from Community Health Choice, Molina Healthcare and WellPoint list Niloufar Ghadiri 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 Niloufar Ghadiri affiliated with any hospitals?

According to CMS data, Niloufar Ghadiri is affiliated with Houston Methodist Hospital, Houston Methodist Baytown Hospital, Hca Houston Healthcare Clear Lake and Houston Methodist Clear Lake Hospital.

When was this NPI record last updated?

The NPPES record for Niloufar Ghadiri was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.