Individual provider Active NPI

Philip Joseph Straka, M.D.

  • Plastic Surgery Physician
  • Kingwood, TX
National Provider Identifier
1053329573
Registry record updated Feb 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
K9182 Issued in TX
Practice address
19701 Kingwood Dr BLDG 2
Kingwood, TX 77339-3773
Phone
(281) 540-8044
NPI assigned
Aug 3, 2006
Last updated
Feb 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X K9182 TX Primary

Addresses

Primary practice location

19701 Kingwood Dr BLDG 2
Kingwood, TX 77339-3773

Mailing address

19701 Kingwood Dr BLDG 2
Kingwood, TX 77339-3773
Phone (281) 540-8044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K9182TXMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Philip J Straka MD Facs PA Plastic Surgery Current Accepting new patients

Locations

19701 Kingwood Dr
Bldg 2
Kingwood, TX 77339
Phone (281) 540-8044

1442 Kingwood Dr
Kingwood, TX 77339

Interoperability endpoints

  • Direct secure messaging: pstraka@direct.uspi.com

Organizations & group practices 1

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612569600000",
    "number": "1053329573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19701 KINGWOOD DR BLDG 2",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393773",
            "telephone_number": "281-540-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19701 KINGWOOD DR BLDG 2",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393773",
            "telephone_number": "281-540-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAKA",
        "first_name": "PHILIP",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2021-02-06",
        "certification_date": "2021-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "K9182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2021; 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.