Individual provider Active NPI

Craig Rock, M.D.

  • Plastic Surgery Physician
  • Houston, TX
National Provider Identifier
1114087285
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
J4995 Issued in TX
Practice address
6624 Fannin St Ste 2590
Houston, TX 77030-2337
Phone
(713) 799-8330
Fax
(713) 583-0953
NPI assigned
Dec 11, 2006
Last updated
Aug 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X J4995 TX Primary

Addresses

Primary practice location

6624 Fannin St Ste 2590
Houston, TX 77030-2337

Mailing address

6624 Fannin St Ste 2590
Houston, TX 77030-2337

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
I20120620000669 TX Practitioner - Plastic and Reconstructive Surgery 3678737780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6624 Fannin St
Suite 2590
Houston, TX 77030-2337
Phone (713) 799-8330

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Quality Network Current Accepting new patients
Plastic Surgery Specialists PA Plastic Surgery Past Accepting new patients

Locations

6624 Fannin St
Ste 2590
Houston, TX 77030
Phone (713) 797-1000

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1114087285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6624 FANNIN ST STE 2590",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6624 FANNIN ST STE 2590",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302337",
            "telephone_number": "713-799-8330",
            "fax_number": "713-583-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCK",
        "first_name": "CRAIG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "J4995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.