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Active NPI 1124650908 Individual Practitioner Male Practitioner

Payam Ghaderi , AA

Anesthesiologist Assistant • Houston, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Payam Ghaderi, AA is a certified Anesthesiologist Assistant practicing in Houston, TX. With approximately 6 years of clinical experience since completing medical education in 2020, Payam Ghaderi delivers high-quality medical care to the local community at 6720 BERTNER AVE.

Payam Ghaderi is affiliated with Dynamic Anesthesia Providers, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6720 Bertner Ave

Houston, TX 770302604

Telephone 8233552666
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiologist Assistant in Houston, TX

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -3.3 yrs vs City Avg
City Avg: 9.3 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
206 Specialists

Practicing in Houston, TX (507 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
93.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ghaderi (6 Years) 6 Yrs
Houston Specialty Average (9.3 Years) 9.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope
15 15 $1078.80 $70.45

Medical Specialties & State Licenses

CMS Verified: 2023-05-27
Anesthesiologist Assistant Primary Specialty

NUCC Taxonomy Code: 367H00000X

State License TX 32697617

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Dynamic Anesthesia Providers, Pllc

4200 Twelve Oaks Dr, Houston, TX 770276812

Phone: 7139807900

Dynamic Anesthesia Providers, Pllc

4615 Southwest Fwy, Houston, TX 770277162

Phone: 2814754428

Secondary Practice Locations

1500 Citywest Blvd Ste 300

Houston, TX 770422549

Phone: 9727155000

6606 Lbj Fwy Ste 200

Dallas, TX 752406524

Phone: 9727155000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

37 Associated Practitioners
Caitlyn Kohake

Anesthesiologist Assistant

NPI 1013652221
Simple Mehmi

Nurse Practitioner - Critical Care Medicine

NPI 1043718612
Marilyn Jose , FNP, ACNP

Nurse Practitioner - Acute Care

NPI 1083802441

Family Nurse Practitioner, ACNP

NPI 1083892483

Doctor of Medicine (M.D.)

NPI 1093192015

Doctor of Medicine (M.D.), Master of Public Health

Quincy Lodge , CRNA

Nurse Anesthetist, Certified Registered

NPI 1093999021

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location May 27, 2023

Registered at 6720 BERTNER AVE, HOUSTON, TX 770302604 (Tel: 8233552666)

📍
Updated Business Mailing Address May 27, 2023

Registered at 6720 BERTNER AVE, HOUSTON, TX 770302604 (Tel: 8233552666)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2023

Student in an Organized Health Care Education/Training Program

📍
Updated Practice Location August 03, 2021

Registered at 6606 LBJ FWY STE 200, DALLAS, TX 752406524 (Tel: 9727155000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2021

Anesthesiologist Assistant (License #32697617 in TX)

NPI Profile Active February 10, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location February 10, 2020

Registered at 1500 CITYWEST BLVD STE 300, HOUSTON, TX 770422549 (Tel: 9727155000)

📍
Updated Business Mailing Address February 10, 2020

Registered at PO BOX 840853, DALLAS, TX 752840853 (Tel: 9727155000)

👤
Provider Name / Credentials Updated February 10, 2020

Recorded as PAYAM GHADERI, AA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 10, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124650908
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 10, 2020
Last Update: May 27, 2023
Sole Proprietor: No

Mailing Address

6720 Bertner Ave

Houston, TX 770302604

Phone: 8233552666

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.