Look up the most recent NPI and PECOS records

Reza J. Mehran

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Allopathic & Osteopathic Physicians

1515 Holcombe Blvd, Houston, TX 77030-4009

PECOS Enrollment

This provider is enrolled in PECOS as REZA MEHRAN.

Based on the most recent information from CMS, provider Reza J. Mehran is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1124123450
Provider Type
Individual
Full Name
Mehran, Reza J.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
9/13/2006
Last Updated
7/2/2012

Contact Information

Practice Location

1515 Holcombe Blvd, Houston, TX 77030-4009

(713) 792-6161

Unlisted Fax

Mailing Location

PO Box 4439, Houston, TX 77210-4439

(713) 792-2991

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208G00000X Primary	Description Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians	License M0489 Texas

Provider Identifiers

ID	Description	Issuer
ID 8P1617	Description Other	Issuer BCBS Texas
ID P00391323	Description Other	Issuer RR MEDICARE Texas
ID 168316101	Description Medicaid	Issuer Unlisted Texas

Reza J. Mehran

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Singapurwala, Mustafa Firoz

Eisenberg, Steven B.

Cohn, William E

Imamura, Michiaki

Heinle, Jeffrey S

Peng, Rick

Adachi, Iki

Chihara, Ray Kris

Salazar, Jorge D.

Lee, Taek Yeon