DR. MAZEN SHUKRI GANIM (M.D.) – Interventional Cardiology Physician, NPI 1740398577
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
780 INTERVENTIONAL CARDIOLOGY in TX
Provider Addresses for DR. MAZEN SHUKRI GANIM (M.D.)
1213 Hermann Dr Ste 720
Houston, TX 770047013
Phone: (713) 796-9696
Fax: (713) 796-9300
Type: Location
South Grant Avenue, Humble, Odessa, Ector County, Texas, 79760, United States
HUMBLE, TX 773384404
Phone: (281) 446-6566
Fax: (281) 446-6657
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 170 Open Payments records for all available years, with a total value of $4,596.
Total Amount is formed as General ($4,596) + Research ($0) + Ownership ($0) = $4,596.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Abbott Laboratories ($993).
Total Amount
$4,596
General + Research + Ownership
Payments
170
Total payment records
General Amount
$4,596
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-08-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100811000488 | I | Interventional Cardiology | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,287 | 647 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 879 | 586 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 663 | 405 | $0 |
| 83735 | Magnesium level | 530 | 359 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 512 | 358 | $0 |
Insurance plans in this area (ZIP 77004)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | TX | |
| P O D I A T R Y | TX | |
| Cardiovascular Disease (Cardiology) | TX | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | KY | |
| Cardiovascular Disease (Cardiology) | TX | |
| Nurse Practitioner | TX | |
| Interventional Cardiology, Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | TX | |
| Interventional Cardiology | TX | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | TX | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | TX |
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