Individual provider Active NPI

Karyn-Anne B. Cumberbatch, MD

  • Obstetrics & Gynecology Physician
  • Missouri City, TX
National Provider Identifier
1073618344
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
J1642 Issued in TX
Practice address
3640 Hampton Dr
Missouri City, TX 77459
Phone
(713) 806-1855
NPI assigned
Sep 13, 2006
Last updated
Jun 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X J1642 TX Primary

Addresses

Primary practice location

3640 Hampton Dr
Missouri City, TX 77459

Mailing address

PO Box 392556
Pittsburgh, PA 15251-9556
Phone (713) 806-1855

Other practice location 1

2100 Regional Medical Dr
Wharton, TX 77488-9719
Phone (979) 532-1700

Other practice location 2

2100 Regional Medical Dr
Wharton, TX 77488-9719
Phone (979) 532-1700

Other identifiers 7

IdentifierTypeStateIssuer
8DE524OtherTXBC/BS #
8W5590OtherTXBC/BS TX #
P00369794OtherTXTRAVELER'S MEDICARE #
P01090446OtherTXRAILROAD MEDICARE PTAN
119091004MedicaidTX
119091008MedicaidTX
J1642OtherTXTX MEDICAL LICENSE

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
I20061216000017 TX Practitioner - Obstetrics/Gynecology 7911906185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Howard University College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Imaging PLLCGroup PAC ID 7012975527, 25 clinicians

Practice addresses (Care Compare)

1717 Rotary Dr
Humble, TX 77338-5235
Phone (281) 272-6277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Imaging, PLLC CurrentSince Sep 1, 2019 Accepting new patients
South Texas Medical Clinics, P.a. Past Accepting new patients
South Texas Medical Clinics, P.a. Past Accepting new patients

Locations

1112 Smith Dr
Alvin, TX 77511
Phone (281) 331-3001

1500 Sunset Dr
Friendswood, TX 77546
Phone (281) 922-4300

4400 Gulf Ave
Groves, TX 77619
Phone (409) 962-5785

523 N Sam Houston Pkwy E
Ste 125
Houston, TX 77060
Phone (225) 308-7333

1717 Rotary Dr
Humble, TX 77338
Phone (817) 296-7282

3640 Hampton Dr
Missouri City, TX 77459
Phone (281) 778-5144

4048 Red Bluff Rd
Pasadena, TX 77503
Phone (713) 477-7877

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.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1073618344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392556",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519556",
            "telephone_number": "713-806-1855",
            "fax_number": "979-532-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 HAMPTON DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "77459",
            "telephone_number": "713-806-1855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Regional Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Wharton",
            "state": "TX",
            "postal_code": "774889719",
            "country_code": "US",
            "telephone_number": "979-532-1700",
            "fax_number": "979-532-6790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Regional Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Wharton",
            "state": "TX",
            "postal_code": "774889719",
            "country_code": "US",
            "telephone_number": "979-532-1700",
            "fax_number": "979-532-6790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUMBERBATCH",
        "first_name": "KARYN-ANNE",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J1642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS #",
            "identifier": "8DE524",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS TX #",
            "identifier": "8W5590",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELER'S MEDICARE #",
            "identifier": "P00369794",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P01090446",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119091004",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119091008",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX MEDICAL LICENSE",
            "identifier": "J1642",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.