NPIMap

Organization Active NPI

Baylor College of Medicine

Doing business as Baylor College of Medicine Dept of Otolaryngology Head and Neck Cons

  • Otolaryngology Physician
  • Houston, TX
National Provider Identifier
1093880437
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
BAYLOR COLLEGE OF MEDICINE
Doing business as
Baylor College of Medicine Dept of Otolaryngology Head and Neck Cons
Practice address
6550 Fannin St
Suite 1701
Houston, TX 77030-2717
Phone
(713) 798-5900
Fax
(713) 798-5294
NPI assigned
Nov 21, 2006
Last updated
Jun 24, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
BAYLOR COLLEGE OF MEDICINEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Authorized official

Name
Ms. Renee Brown
Title
Administrator
Phone
(713) 798-8291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU Primary

Addresses

Primary practice location

6550 Fannin St
Suite 1701
Houston, TX 77030-2717

Mailing address

6550 Fannin St
Suite 1701
Houston, TX 77030-2717
Phone (713) 798-5900

Other identifiers 1

IdentifierTypeStateIssuer
Z000B84S4MedicaidTX

Other names 1

  • Baylor College of Medicine Dept of Otolaryngology Head and Neck Cons Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031106000562 TX Part B Supplier - Clinic/Group Practice 8224941265 Receives reassigned benefits from 2,374 practitioners
46 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Houston, TX; Pasadena, TX; Baytown, TX; Bellaire, TX; Galena Park, TX

Other NPIs on the same Medicare enrollment 46

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 46

National Provider Directory

National Provider Directory
Part of
Contact Lens Clinic

Locations

6550 Fannin St
#1018
Houston, TX 77030
Phone (713) 793-8902

6550 Fannin St
Ste 1501
Houston, TX 77030
Phone (713) 441-5141

Practitioners & affiliated clinicians

Practitioners 333

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 333

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1093880437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST",
            "address_2": "SUITE 1701",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302717",
            "telephone_number": "713-798-5900",
            "fax_number": "713-798-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST",
            "address_2": "SUITE 1701",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302717",
            "telephone_number": "713-798-5900",
            "fax_number": "713-798-5294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLOR COLLEGE OF MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAYLOR COLLEGE OF MEDICINE",
        "enumeration_date": "2006-11-21",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-798-8291",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z000B84S4",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baylor College of Medicine Dept of Otolaryngology Head and Neck Cons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 24, 2015; 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.