Organization Active NPI

Willy Pezzia MD PA

  • Internal Medicine Physician
  • Katy, TX
National Provider Identifier
1043227697
Registry record updated Dec 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E3750 Issued in TX
Legal business name
WILLY PEZZIA MD PA
Practice address
714 S Peek Rd
Katy, TX 77450-3181
Phone
(281) 395-3955
Fax
(281) 395-3959
NPI assigned
Aug 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2009

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

Authorized official

Name
Dr. Willy Pezzia, M.D.
Title
Owner
Phone
(281) 395-3955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X E3750 TX Primary

Addresses

Primary practice location

714 S Peek Rd
Katy, TX 77450-3181

Mailing address

714 S Peek Rd
Katy, TX 77450-3181
Phone (281) 395-3955

Other identifiers 1

IdentifierTypeStateIssuer
092197501MedicaidTX

National Provider Directory

National Provider Directory

Locations

8945 Long Point Rd
Ste 114
Houston, TX 77055
Phone (713) 465-9899

21830 Kingsland Blvd
Ste 103
Katy, TX 77450
Phone (281) 599-7644

714 S Peek Rd
Katy, TX 77450
Phone (281) 395-3955

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1043227697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 S PEEK RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774503181",
            "telephone_number": "281-395-3955",
            "fax_number": "281-395-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 S PEEK RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774503181",
            "telephone_number": "281-395-3955",
            "fax_number": "281-395-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLY PEZZIA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "PEZZIA",
        "authorized_official_first_name": "WILLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-395-3955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "E3750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092197501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.