Active NPI
Acs Primary Admitting Providers, P.a.
- Internal Medicine Physician
- Houston, TX
National Provider Identifier
1104197193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ACS PRIMARY ADMITTING PROVIDERS, P.A.
- Practice address
- 11800 Astoria Blvd
Houston, TX 77089-6041 - Phone
- (925) 924-1600
- Fax
- (924) 924-0506
- NPI assigned
- Jan 23, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kristopher M. Smith
- Title
- Cfo
- Phone
- (925) 924-1600
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Hospitalist Physician | 208M00000X |
Addresses
Primary practice location
11800 Astoria Blvd
Houston, TX 77089-6041
Mailing address
5000 Hopyard Rd
Suite 100
Pleasanton, CA 94588-3348
Phone (925) 924-1600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 305959403 | Medicaid | TX | |
| 305959401 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Richmond, TX
- NPI 1376624577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398297600000",
"number": "1104197193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 HOPYARD RD",
"address_2": "SUITE 100",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945883348",
"telephone_number": "925-924-1600",
"fax_number": "924-924-0506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11800 ASTORIA BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770896041",
"telephone_number": "925-924-1600",
"fax_number": "924-924-0506"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACS PRIMARY ADMITTING PROVIDERS, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-23",
"last_updated": "2014-04-24",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "KRISTOPHER",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "925-924-1600",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "305959403",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "305959401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.