1. Home
  2. Directory
  3. Texas
  4. Houston
  5. Physician Assistant
  6. NPI Profile

YASSMIN MAHMOODPOUR SOUDJANI
NPI 1780394643
Physician Assistant in Houston, TX

Active since December 01, 2022PECOS Enrolled
19002 PARK ROW STE 105, HOUSTON, TX 77084(346) 251-5901 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Nov 7, 2023, Mar 21, 2023, Dec 1, 2022 (3 updates tracked since 2022).

About Yassmin Mahmoodpour Soudjani NPPES

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

YASSMIN MAHMOODPOUR SOUDJANI (NPI 1780394643) is an individual physician assistant in Houston, Texas, licensed in Texas (PA16457) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780394643
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameYASSMIN MAHMOODPOUR SOUDJANI
Location Address19002 PARK ROW STE 105Houston, TX 77084-7060
Mailing Address14031 Pinerock LnHouston, TX 77079-3222 · (832) 758-7135
Phone(346) 251-5901
Sole ProprietorNo
Enumeration DateDecember 1, 2022
Last NPPES UpdateNovember 7, 20233 updates tracked since enumeration
NPPES CertifiedNovember 7, 2023
✔ NPI 1780394643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA16457
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
19002 PARK ROW STE 105, Houston, TX 77084
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yassmin Mahmoodpour Soudjani is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77084 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
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

Other Providers at the Same Location NPPES

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

NHU THI HUE NGUYEN MPAS
Physician Assistant (Medical)
19002 PARK ROW STE 105
HOUSTON, TX 77084
Harris County (346) 251-5901

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 Yassmin Mahmoodpour Soudjani's NPI number?

The NPI number for Yassmin Mahmoodpour Soudjani is 1780394643. It was assigned to this individual provider in the NPPES registry on December 1, 2022.

Where is Yassmin Mahmoodpour Soudjani located?

Yassmin Mahmoodpour Soudjani practices at 19002 Park Row Ste 105, Houston, TX 77084. The listed phone number is (346) 251-5901.

What is Yassmin Mahmoodpour Soudjani's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Yassmin Mahmoodpour Soudjani enrolled in Medicare?

Yes. Yassmin Mahmoodpour Soudjani is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Yassmin Mahmoodpour Soudjani was last updated on November 7, 2023. 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.