Organization Active NPI

Houston Comprehensive Rheumatology

  • Rheumatology Physician
  • Houston, TX
National Provider Identifier
1114390176
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
HOUSTON COMPREHENSIVE RHEUMATOLOGY
Practice address
11240 FM 1960 Rd W
Ste 401
Houston, TX 77065-3662
Phone
(832) 688-9463
Fax
(832) 688-9186
NPI assigned
Nov 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Authorized official

Name
Bao NguyenNPI 1336496892
Title
Ceo
Phone
(832) 279-2631

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X TX Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X TX
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X TX

Addresses

Primary practice location

11240 FM 1960 Rd W
Ste 401
Houston, TX 77065-3662

Mailing address

9717 Jones Rd Ste 200
Houston, TX 77065-4303
Phone (832) 688-9463

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bao.nguyen@hcr.eclinicaldirectplus.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160506000477 TX Part B Supplier - Clinic/Group Practice 1658670021 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

9717 Jones Rd
#200
Houston, TX 77065
Phone (832) 688-9463

11240 FM 1960 Rd W
Ste 401
Houston, TX 77065
Phone (832) 688-9463

9717 Jones Rd
Ste 200
Houston, TX 77065
Phone (832) 688-9463

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFAIBD

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1114390176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9717 JONES RD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654303",
            "telephone_number": "832-688-9463",
            "fax_number": "832-688-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11240 FM 1960 RD W",
            "address_2": "STE 401",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653662",
            "telephone_number": "832-688-9463",
            "fax_number": "832-688-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON COMPREHENSIVE RHEUMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "BAO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-279-2631"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bao.nguyen@hcr.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "11240 Fm 1960 Rd W",
            "address_2": "Ste 401",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770653662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Apr 13, 2023; 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.