Payam Ghaderi, AA
NPI 1124650908ActiveIndividual· Anesthesiologist Assistant· Houston, TX
Anesthesiologist Assistant (AA) with Dynamic Anesthesia Providers, PLLC and 1 other group, practicing in Houston, Texas. Medicare paid $2,106 for services to 27 patients in 2024. Lists Ad Hospital East, LLC and 1 other hospital as hospital affiliations.
Overview
| NPI | 1124650908 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AA |
| Sole proprietor | No |
| NPI issued | Feb 10, 2020 |
| Last updated in NPPES | May 27, 2023 |
| Certified by provider | May 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiologist Assistant Primary | 367H00000X | 32697617 | TX |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology Assistant (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 27 |
|---|---|
| Services billed | 30 across 16 procedure codes |
| Paid by Medicare | $2,106 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Anesthesiology Assistant |
Medical groups
- Dynamic Anesthesia Providers, PLLCBaytown, TX · 110 clinicians
- Apex Frontier Group, PLLCTomball, TX · 35 clinicians
Hospital affiliations
- Ad Hospital East, LLCHouston, TX
- Baytown Medical Center LPBaytown, TX
Other Anesthesiologist Assistant providers in Houston
- 1053295154
- 1104109909
- 1407347578
- 1396368825
- 1598267387
- 1114590254
- 1366855637
- 1386927184
- 1750054607
- 1346520681
- 1720464050
- 1851846562