Organization Active NPI

Memorial Endocrinology and Diabetes

Doing business as Memorial City Endocrine Consultants

  • Specialist
  • Houston, TX
National Provider Identifier
1043401193
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G5909 Issued in TX
Legal business name
MEMORIAL ENDOCRINOLOGY AND DIABETES
Doing business as
Memorial City Endocrine Consultants
Practice address
1140 Business Center Dr
Suite #550
Houston, TX 77043
Phone
(713) 984-8200
Fax
(713) 984-1113
NPI assigned
Aug 5, 2007
Last updated
Feb 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Authorized official

Name
Donald F Gardner, M.D.NPI 1174616619
Title
Doctor
Phone
(713) 984-8200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G5909 TX Primary

Addresses

Primary practice location

1140 Business Center Dr
Suite #550
Houston, TX 77043

Mailing address

1140 Business Center Dr
Suite #550
Houston, TX 77043
Phone (713) 984-8200

Other identifiers 2

IdentifierTypeStateIssuer
114356202MedicaidTX
00QG37OtherTXBCBS

Other names 1

  • MEMORIAL CITY ENDOCRINE CONSULTANTS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240319002678 TX Part B Supplier - Clinic/Group Practice 9739120916 Receives reassigned benefits from 3 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

1140 Business Center Dr
Ste 550
Houston, TX 77043
Phone (713) 984-8200

909 Frostwood Dr
Ste 224
Houston, TX 77024
Phone (713) 984-8200

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1043401193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 BUSINESS CENTER DR",
            "address_2": "SUITE #550",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77043",
            "telephone_number": "713-984-8200",
            "fax_number": "713-984-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 BUSINESS CENTER DR",
            "address_2": "SUITE #550",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77043",
            "telephone_number": "713-984-8200",
            "fax_number": "713-984-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL ENDOCRINOLOGY AND DIABETES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "713-984-8200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "G5909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114356202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00QG37",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEMORIAL CITY ENDOCRINE CONSULTANTS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MEMORIAL CITY ENDOCRINE CONSULTANTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.