Individual provider Active NPI

Kristofer M Charlton-Ouw, MD

  • Vascular Surgery Physician
  • Houston, TX
National Provider Identifier
1104995828
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
M7907 Issued in TX
Practice address
1200 Binz St Ste 1300
Houston, TX 77004-6999
Phone
(713) 942-2500
Fax
(713) 942-2536
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X M7907 TX
Vascular Surgery Physician 2086S0129X M7907 TX Primary

Addresses

Primary practice location

1200 Binz St Ste 1300
Houston, TX 77004-6999

Mailing address

1200 Binz St Ste 1300
Houston, TX 77004-6999
Phone (713) 942-2500

Other identifiers 1

IdentifierTypeStateIssuer
193793005MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristofer.charltonouw@hca9.eclinicaldirectplus.com

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
I20080610000626 TX Practitioner - Vascular SurgeryPractitioner - General Surgery 9436229903 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Harvard Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Associates of West Houston PLLCGroup PAC ID 6800056177, 125 clinicians

Practice addresses (Care Compare)

1200 Binz St
Suite 925
Houston, TX 77004-6900
Phone (713) 524-9300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.87 of 100Reported as individual
Quality
79.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Melanoma (skin cancer) excision1-10
Leg revascularization (restoring blood flow)39
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M7907TXMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Associates of West Houston PLLC CurrentSince Aug 1, 2020 Accepting new patients
Ut Physicians Surgery CurrentSince Mar 1, 2012 Accepting new patients
Ut Physicians CurrentSince Mar 1, 2012 Accepting new patients
Cardiovascular Care Providers, Inc. PastSince Aug 1, 2020 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

146 E Hospital Dr
Ste 201
Angleton, TX 77515
Phone (409) 849-1414

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

1515 Holcombe Blvd
Houston, TX 77030
Phone (713) 794-5446

6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200

1140 Business Center Dr
Ste 490
Houston, TX 77043
Phone (713) 932-1247

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6400 Fannin St
Ste 2850
Houston, TX 77030
Phone (713) 486-5100

1200 Binz St
Ste 1300
Houston, TX 77004
Phone (713) 526-8372

6410 Fannin St
Ste 450
Houston, TX 77030
Phone (713) 486-3100

1200 Binz St
Ste 925
Houston, TX 77004
Phone (713) 524-9300

22751 Professional Dr
Ste 250
Kingwood, TX 77339
Phone (281) 668-7205

651 N Egret Bay Blvd
Ste H
League City, TX 77573
Phone (832) 632-1333

8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200

15200 Southwest Fwy
Ste 290
Sugar Land, TX 77478
Phone (281) 980-2010

Interoperability endpoints

  • Direct secure messaging: kristofer.charltonouw@hca9.eclinicaldirectplus.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1104995828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BINZ ST STE 1300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770046999",
            "telephone_number": "713-942-2500",
            "fax_number": "713-942-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BINZ ST STE 1300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770046999",
            "telephone_number": "713-942-2500",
            "fax_number": "713-942-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLTON-OUW",
        "first_name": "KRISTOFER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2022-01-28",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M7907",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "M7907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193793005",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristofer.charltonouw@hca9.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1200 Binz St Ste 1300",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770046999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.