Active NPI
Grzegorz P Kurzydlo, M.D., P.A.
- Neurology Physician
- Humble, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- L7790
- Practice address
- 19411 McKay Dr
Ste 200
Humble, TX 77338-5722 - Phone
- (281) 570-4112
- Fax
- (281) 570-4067
- NPI assigned
- Jul 7, 2005
- Last updated
- Nov 14, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | L7790 | TX | Primary |
Addresses
Primary practice location
19411 McKay Dr
Ste 200
Humble, TX 77338-5722
Mailing address
19411 McKay Dr
Ste 200
Humble, TX 77338-5722
Phone (281) 570-4112
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164768701 | Medicaid | TX | |
| 7946539 | Other | TX | AETNA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
19411 McKay Dr
Suite 200
Humble, TX 77338-5722
Phone (281) 570-4112
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psych Matters PLLC | Neurology | Current | Accepting new patients |
| Psych Matters PLLC | Neurology | Current | Accepting new patients |
| Grzegorz Kurzydlo, M.D., P.a. | Neurology | Current | Accepting new patients |
| MRG Health Texas PLLC | Past | Accepting new patients | |
| North Belt East Medical Clinic PA | Past | Accepting new patients |
Locations
10440 N Central Expy
Ste 1040
Dallas, TX 75231
Phone (832) 225-3345
17070 Red Oak Dr
Ste 209
Houston, TX 77090
Phone (281) 444-1715
4801 Woodway Dr
Ste 306W
Houston, TX 77056
Phone (832) 225-3345
19411 McKay Dr
Ste 200
Humble, TX 77338
Phone (281) 570-4112
9802 FM 1960 Bypass Rd W
Ste 250
Humble, TX 77338
Phone (281) 570-4112
Organizations & group practices 6
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.
-
- Neurology Physician
- Humble, TX
- NPI 1346555794
-
- Neurology Physician
- Humble, TX
- NPI 1740731090
-
- Clinical Informatics Physician
- Houston, TX
- NPI 1013779883
-
- Internal Medicine Physician
- Houston, TX
- NPI 1386707917
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Hermann Northeast
- General Acute Care Hospital
- Humble, TX
- NPI 1295843787
-
dba Houston Methodist The Woodlands Hospital
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1184179194
-
dba Memorial Hermann Houston Physicians' Hospital
- General Acute Care Hospital
- Webster, TX
- NPI 1285699835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479081600000",
"number": "1083611925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19411 MCKAY DR",
"address_2": "STE 200",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773385722",
"telephone_number": "281-570-4112",
"fax_number": "281-570-4067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19411 MCKAY DR",
"address_2": "STE 200",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773385722",
"telephone_number": "281-570-4112",
"fax_number": "281-570-4067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURZYDLO",
"first_name": "GRZEGORZ",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D., P.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2016-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "L7790",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164768701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7946539",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.