ADNAN AFZAL M.D.
NPI 1790862985
Internal Medicine - Cardiovascular Disease in Conroe, TX

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
100 MEDICAL CENTER BLVD STE 200, CONROE, TX 77304(936) 441-9680(936) 539-9685 Get Directions Write a Review

NPPES record last updated: July 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Adnan Afzal M.d. NPPES

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

ADNAN AFZAL M.D. (NPI 1790862985) is an individual cardiovascular disease provider in Conroe, Texas, licensed in Texas (L1789) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Chi St Joseph Health Regional Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1790862985
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameADNAN AFZALCredential: M.D.
Location Address100 MEDICAL CENTER BLVD STE 200Conroe, TX 77304-2821
Mailing Address100 Medical Center Blvd 200Conroe, TX 77304-2821 · (936) 441-9680 · Fax (936) 539-9685
Fax(936) 539-9685
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 23, 2021
NPPES CertifiedJuly 23, 2021
NPI 1790862985 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 · L1789
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.
100 MEDICAL CENTER BLVD STE 200, Conroe, TX 77304

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

Adnan Afzal 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 ID7618991449
PECOS Enrollment IDI20060119000875
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 36

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.

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
1,651 services119 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
1,153 services129 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
916 services515 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.
772 services363 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
745 services99 patients
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.
480 services336 patients

Hospital Affiliations CMS Care Compare 4

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

Chi St Joseph Health Regional Hospital

Acute Care Hospitals · Bryan, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450011
Location2801 Franciscan DrBryan, TX 77802 · Brazos County
Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Hca Houston Healthcare Conroe

Acute Care Hospitals · Conroe, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450222
Location504 Medical Center BlvdConroe, TX 77304 · Montgomery County
Emergency services Birthing friendly

Houston Methodist The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670122
Location17201 Interstate 45 SouthThe Woodlands, TX 77385 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77304 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.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

Reported Quality Measures

e-Prescribing
98%1,904 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
98%972 patients4/55-star benchmark: 100%
Support Electronic Referral Loops By Sending Health Information
6%32 patients1/55-star benchmark: 100%
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.

Pneumatic compressor, segmental home model without calibrated gradient pressure E0651
DME-Other DME · category DE000N
1 supplier25 claims25 services$880.65 avg. paid by Medicare
Segmental pneumatic appliance for use with pneumatic compressor, full leg E0667
DME-Other DME · category DE000N
1 supplier25 claims50 services$313.09 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 7

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

Nurse Practitioner (Family)
100 MEDICAL CENTER BLVD STE 200
CONROE, TX 77304
Internal Medicine (Pulmonary Disease)
100 MEDICAL CENTER BLVD STE 200
CONROE, TX 77304
Nurse Practitioner (Family)
100 MEDICAL CENTER BLVD STE 200
CONROE, TX 77304
Internal Medicine (Cardiovascular Disease)
100 MEDICAL CENTER BLVD STE 200
CONROE, TX 77304
Internal Medicine (Interventional Cardiology)
100 MEDICAL CENTER BLVD STE 200
CONROE, TX 77304
Nurse Practitioner (Acute Care)
100 MEDICAL CENTER BLVD STE 200
CONROE, TX 77304
Nurse Practitioner (Family)
100 MEDICAL CENTER BLVD STE 200
CONROE, TX 77304

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 Adnan Afzal's NPI number?

The NPI number for Adnan Afzal is 1790862985. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Adnan Afzal located?

Adnan Afzal practices at 100 Medical Center Blvd Ste 200, Conroe, TX 77304. The listed phone number is (936) 441-9680.

What is Adnan Afzal's specialty?

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

Is Adnan Afzal enrolled in Medicare?

Yes. Adnan Afzal 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 Adnan Afzal 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 6 other insurers list Adnan Afzal 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 Adnan Afzal affiliated with any hospitals?

According to CMS data, Adnan Afzal is affiliated with Chi St Joseph Health Regional Hospital, Memorial Hermann Hospital System, Hca Houston Healthcare Conroe and Houston Methodist The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Adnan Afzal was last updated on July 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.