Individual provider Active NPI

Khoi H Du, M.D.

  • Surgery Physician
  • Webster, TX
National Provider Identifier
1013107887
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
N5659 Issued in TX
Practice address
450 W Medical Center Blvd
Webster, TX 77598-4234
Phone
(281) 332-4596
Fax
(281) 332-9610
NPI assigned
Jul 27, 2007
Last updated
Nov 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 201414 LA
Surgery Physician 208600000X N5659 TX Primary

Addresses

Primary practice location

450 W Medical Center Blvd
Webster, TX 77598-4234

Mailing address

450 W Medical Center Blvd
Webster, TX 77598-4234
Phone (281) 332-4596

Other identifiers 1

IdentifierTypeStateIssuer
1090760MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110927000753 TX Practitioner - General Surgery 9931370798 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Texas a & M University System, HSC, College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgical Specialists of Clear Lake PLLCGroup PAC ID 6103904461, 10 clinicians

Practice addresses (Care Compare)

450 W Med Ctr Blvd
Webster, TX 77598-4233
Phone (281) 332-4596

500 W Medical Ctr Blvd
Clear Lake Regional Medical Center
Webster, TX 77598-4220
Phone (281) 332-4596

502 W Medical Ctr Blvd
Bay Area Surgicare Center
Webster, TX 77598-4220
Phone (281) 332-4596

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.82 of 100Reported as individual
Quality
91.63
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy11
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)22
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201414LAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Minivasive Pain Specialists,PLLC CurrentSince Jan 22, 2024 Accepting new patients
Surgical Specialists of Clear Lake PLLC Surgery CurrentSince Jul 1, 2011 Accepting new patients
Southern Texas Physicians Network Inc Past Accepting new patients

Locations

15201 East Fwy
Ste 118
Channelview, TX 77530

2051 Greenhouse Rd
Ste 240
Houston, TX 77084

2656 S Loop W
Ste 595
Houston, TX 77054

6002 Rogerdale Rd
Ste 590
Houston, TX 77072

310 Kingwood Executive Dr
Ste C
Kingwood, TX 77339
Phone (281) 312-6313

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

11233 Shadow Creek Pkwy
Ste 121
Pearland, TX 77584
Phone (713) 436-0148

3307 Spring Stuebner Rd
Ste D
Spring, TX 77389
Phone (363) 800-6001

11925 Southwest Fwy
Ste 1
Stafford, TX 77477

155 School St
Ste 230
Tomball, TX 77375

205 E Medical Center Blvd
Ste 100
Webster, TX 77598

450 W Medical Center Blvd
Ste 600
Webster, TX 77598
Phone (281) 338-3270

Networks

  • TX HMO D-SNP
  • TX HMO
  • NM HMO C-SNP

Interoperability endpoints

  • Direct secure messaging: khoi.du@hca9.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352851200000",
    "number": "1013107887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W MEDICAL CENTER BLVD",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984234",
            "telephone_number": "281-332-4596",
            "fax_number": "281-332-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W MEDICAL CENTER BLVD",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984234",
            "telephone_number": "281-332-4596",
            "fax_number": "281-332-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DU",
        "first_name": "KHOI",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-27",
        "last_updated": "2012-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "LA",
            "license": "201414",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "N5659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1090760",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.