Individual provider Active NPI

James J. Ludwick, MD

  • Otolaryngology Physician
  • Houston, TX
National Provider Identifier
1093712085
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
L9330 Issued in TX
Practice address
12606 Old Westheimer #220
Houston, TX 77082-2787
Phone
(281) 556-1102
Fax
(281) 556-1340
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X L9330 TX Primary

Addresses

Primary practice location

12606 Old Westheimer #220
Houston, TX 77082-2787

Mailing address

12606 Old Westheimer #220
Houston, TX 77082-2787
Phone (281) 556-1102

Other identifiers 2

IdentifierTypeStateIssuer
167775901MedicaidTX
167775903MedicaidTX

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
I20040913001003 TX Practitioner - Otolaryngology 9133196850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Toledo College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6921 Brisbane CT
Suite 210
Sugar Land, TX 77479-7094
Phone (281) 556-1102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L9330TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sugar Land ENT and Sleep Center, PA Otolaryngology CurrentSince Jan 1, 2006 Accepting new patients
Specialty Associates of West Houston PLLC Past Accepting new patients
LGST, PLLC Past Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

12606 West Houston Center Blvd
Ste 220
Houston, TX 77082
Phone (209) 362-3311

6921 Brisbane Ct
Ste 210
Sugar Land, TX 77479
Phone (281) 556-1102

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1093712085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12606 OLD WESTHEIMER #220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822787",
            "telephone_number": "281-556-1102",
            "fax_number": "281-556-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12606 OLD WESTHEIMER #220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822787",
            "telephone_number": "281-556-1102",
            "fax_number": "281-556-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDWICK",
        "first_name": "JAMES",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "L9330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167775901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167775903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.