Organization Active NPI

Luis H Camacho MD MPH PA

  • Hematology & Oncology Physician
  • Houston, TX
National Provider Identifier
1073927950
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
L2829 Issued in TX
Legal business name
LUIS H CAMACHO MD MPH PA
Practice address
6560 Fannin St
Ste 1224
Houston, TX 77030-2761
Phone
(713) 796-1200
NPI assigned
Jun 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Authorized official

Name
Luis H Camacho, MDNPI 1336249960
Title
President/Owner
Phone
(713) 796-1200

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
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X L2829 TX Primary

Addresses

Primary practice location

6560 Fannin St
Ste 1224
Houston, TX 77030-2761

Mailing address

5300 N Braeswood Blvd
4-422
Houston, TX 77096-3307
Phone (713) 796-1200

Other identifiers 1

IdentifierTypeStateIssuer
L2829OtherTXTEXAS MEDICAL LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141113000768 TX Part B Supplier - Clinic/Group Practice 5597987289 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

5300 N Braeswood Blvd
Ste 4422
Houston, TX 77096

6560 Fannin St
Ste 1224
Houston, TX 77030
Phone (713) 795-0933

5300 N Braeswood Blvd
#4422
Houston, TX 77096

Practitioners & affiliated clinicians

Practitioners 1

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": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1073927950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N BRAESWOOD BLVD",
            "address_2": "4-422",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770963307",
            "telephone_number": "713-796-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST",
            "address_2": "STE 1224",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302761",
            "telephone_number": "713-796-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS H CAMACHO MD MPH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "CAMACHO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "713-796-1200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "L2829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "L2829",
            "state": "TX"
        }
    ],
    "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 Jun 18, 2014; 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.