Individual provider Active NPI

Mavis D Fujii, M.D.

  • Neurology Physician
  • Houston, TX
National Provider Identifier
1013099399
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
H5312 Issued in TX
Practice address
18333 Egret Bay Blvd
Suite 650
Houston, TX 77058-3860
Phone
(281) 333-9933
Fax
(281) 333-4072
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X H5312 TX Primary

Addresses

Primary practice location

18333 Egret Bay Blvd
Suite 650
Houston, TX 77058-3860

Mailing address

18333 Egret Bay Blvd
Suite 650
Houston, TX 77058-3860
Phone (281) 333-9933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2021 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Egret Bay Neurology, PA CurrentSince Jan 25, 2005 Accepting new patients
Clear Lake Neurology PLLC Neurology Past Accepting new patients
Robert W Farrell MD PA PastSince Oct 26, 2012 Accepting new patients
William L High MD PA Neurology Past Accepting new patients
Clear Lake Neuro Diagnostic Clinic PLLC Past Accepting new patients
Utmb Faculty Group Practice Neurology Past Accepting new patients

Locations

17300 Saturn Ln
Ste 101
Houston, TX 77058
Phone (832) 721-3316

18333 Egret Bay Blvd
Ste 650
Houston, TX 77058
Phone (281) 333-9933

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013099399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18333 EGRET BAY BLVD",
            "address_2": "SUITE 650",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583860",
            "telephone_number": "281-333-9933",
            "fax_number": "281-333-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18333 EGRET BAY BLVD",
            "address_2": "SUITE 650",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583860",
            "telephone_number": "281-333-9933",
            "fax_number": "281-333-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUJII",
        "first_name": "MAVIS",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "H5312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.