Organization Active NPI

Gerid HIV PLLC

  • Infectious Disease Physician
  • Houston, TX
National Provider Identifier
1073094751
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
GERID HIV PLLC
Practice address
19255 Park Row Ste 106
Houston, TX 77084-7310
Phone
(713) 965-6444
Fax
(281) 503-7700
NPI assigned
Aug 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Authorized official

Name
Dr. Roberto Andrade, MDNPI 1508946922
Title
Owner
Phone
(713) 965-6444

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
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

19255 Park Row Ste 106
Houston, TX 77084-7310

Mailing address

19255 Park Row Ste 106
Houston, TX 77084-7310
Phone (713) 965-6444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181128001755 TX Part B Supplier - Clinic/Group Practice 0446594725 Receives reassigned benefits from 2 practitioners
Practice locations: Katy, TX

National Provider Directory

National Provider Directory

Locations

19255 Park Row
Ste 106
Houston, TX 77084
Phone (713) 965-6444

20811 Westheimer Pkwy
Ste A
Katy, TX 77450
Phone (713) 213-0867

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1073094751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19255 PARK ROW STE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770847310",
            "telephone_number": "713-965-6444",
            "fax_number": "281-503-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19255 PARK ROW STE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770847310",
            "telephone_number": "713-965-6444",
            "fax_number": "281-503-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERID HIV PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDRADE",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-965-6444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2018; 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.