Organization Active NPI

Baylor College of Medicine

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1104867175
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BAYLOR COLLEGE OF MEDICINE
Practice address
6620 Main St
Houston, TX 77030-2305
Phone
(713) 798-2500
NPI assigned
Jun 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Mr. Richards C Allison III
Title
Director
Phone
(713) 798-1746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6620 Main St
Houston, TX 77030-2305

Mailing address

2 E Greenway PLZ
Suite 900
Houston, TX 77046-0297
Phone (713) 798-1750

Other identifiers 2

IdentifierTypeStateIssuer
CI7180OtherTXRR MEDICARE
135252804MedicaidTX

Other names 1

  • Baylor Internal Medicine Other name

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

Locations (25 of 26)

4800 Fournace Pl
Bellaire, TX 77401
Phone (346) 426-0478

2525 Holly Hall St
Unit 3C
Houston, TX 77054
Phone (713) 526-4243

1623 Airline Dr
Ste 100B
Houston, TX 77009
Phone (713) 218-2697

8539 Gulf Fwy
Houston, TX 77017
Phone (713) 218-2697

17203 Hall Shepperd Rd
Houston, TX 77049
Phone (281) 456-5201

6607 Fannin
9TH FL
Houston, TX 77030
Phone (832) 822-3950

1102 Bates Ave
Ste 340
Houston, TX 77030
Phone (832) 824-3245

6550 Fannin St
Ste 1421
Houston, TX 77030
Phone (713) 798-4495

1200 Moursund St
Ste 269B
Houston, TX 77030
Phone (713) 798-4657

1 Baylor Plz
Ste 404D
Houston, TX 77030
Phone (713) 798-4579

3440 Richmond Ave
Houston, TX 77046
Phone (713) 627-3156

1615 N Main St
Houston, TX 77009
Phone (713) 222-2272

13940 Bonham St
Houston, TX 77015
Phone (713) 330-8904

6550 Fannin St
Ste 801
Houston, TX 77030
Phone (713) 793-8927

6624 Fannin St
Ste 1700
Houston, TX 77030
Phone (713) 526-5511

1 Baylor Plz
#404D
Houston, TX 77030
Phone (713) 798-4579

2525 Holly Hall St
#A
Houston, TX 77054
Phone (713) 526-4243

2450 Holcombe Blvd
Rm 0
Houston, TX 77021
Phone (713) 798-3295

12340 Jones Rd
Ste 100
Houston, TX 77070
Phone (713) 873-5240

1977 Butler Blvd
#E4400
Houston, TX 77030
Phone (713) 798-4857

6701 Fannin St
Ste 510
Houston, TX 77030
Phone (832) 822-3230

2 Greenway Plz
Houston, TX 77046
Phone (713) 798-1700

6560 Fannin St
Ste 1035
Houston, TX 77030
Phone (713) 798-4109

6560 Fannin St
Ste 1860
Houston, TX 77030
Phone (713) 790-3155

3925 Fairmont Pkwy
Rm 7
Pasadena, TX 77504

Practitioners & affiliated clinicians

Practitioners 2,477

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

View all 2,477

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1104867175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 E GREENWAY PLZ",
            "address_2": "SUITE 900",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770460297",
            "telephone_number": "713-798-1750",
            "fax_number": "713-798-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302305",
            "telephone_number": "713-798-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLOR COLLEGE OF MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "RICHARDS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-798-1746",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CI7180",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135252804",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baylor Internal Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 1, 2012; 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.