University Medical Group PLLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

UNIVERSITY MEDICAL GROUP PLLC

Practice address

1140 Business Center Dr Ste 110
Houston, TX 77043-2749

Phone

(281) 896-0100

Fax

(281) 896-0101

NPI assigned

Jun 18, 2019

Organization subpart

No

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

Authorized official

Name

Jaideep Hemu Mehta, MD

Title

Ceo

Phone

(713) 530-7338

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Kelsey Janay Duncan, A-GNP-C

  • Adult Health Nurse Practitioner
  • Spring, TX
  • NPI 1598472953
  NPD (past)
• Ellen Bertrand King, NP

  • Gerontology Nurse Practitioner
  • Tulsa, OK
  • NPI 1669918603
  NPD (past)

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619913600000",
    "number": "1093375313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 BUSINESS CENTER DR STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770432749",
            "telephone_number": "281-896-0100",
            "fax_number": "281-896-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 BUSINESS CENTER DR STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770432749",
            "telephone_number": "281-896-0100",
            "fax_number": "281-896-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2021-05-02",
        "certification_date": "2021-05-02",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "JAIDEEP",
        "authorized_official_middle_name": "HEMU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-530-7338",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University Care Plus Weatherhead Pet Center
• University Diagnostic & Treatment Clinic PLLC
• University Eye Associates
• University General Hospital
• University General Hospital, LLC
• University OB/GYN of Texas, P.a.
• University of Houston
• University of Houston
• University of Houston
• University of Houston

• Pain Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.