Organization Active NPI

Bayou Anesthesia and Pain P.a.

  • Anesthesiology Physician
  • Houston, TX
National Provider Identifier
1114977139
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
BAYOU ANESTHESIA AND PAIN P.A.
Practice address
7010 Champions Plaza Dr
Suite 400
Houston, TX 77069-2396
Phone
(832) 698-5320
NPI assigned
May 11, 2006
Last updated
Dec 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Authorized official

Name
Henry Bethea, MDNPI 1902867013
Title
Partner
Phone
(832) 698-5330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

7010 Champions Plaza Dr
Suite 400
Houston, TX 77069-2396

Mailing address

7010 Champions Plaza Dr
Suite 400
Houston, TX 77069-2396
Phone (832) 698-5320

Other identifiers 3

IdentifierTypeStateIssuer
00C58POtherTXCRNA BCBS GRP #
145835801MedicaidTX
0078GSOtherTXBCBS GROUP #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040304000168 TX Part B Supplier - Clinic/Group Practice 2264329150 Receives reassigned benefits from 152 practitioners
Practice locations: The Woodlands, TX; Tomball, TX; Spring, TX; Shenandoah, TX; League City, TX; Kingwood, TX; Houston, TX; Baytown, TX…

National Provider Directory

National Provider Directory
Tax ID family
Bayou Anesthesia and Pain PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

600 N Richardson Ave
Roswell, NM 88201
Phone (505) 622-5600

3115 College Park Dr
Unit 103
Conroe, TX 77384

3750 Medical Park Blvd
Dickinson, TX 77539
Phone (281) 534-1133

12727 Kimberley Ln
Ste 100
Houston, TX 77024
Phone (713) 337-1111

12950 East Fwy
Houston, TX 77015
Phone (281) 338-3209

13300 Hargrave Rd
Ste 310
Houston, TX 77070
Phone (281) 664-1255

1900 North Loop W
Ste 600
Houston, TX 77018
Phone (281) 502-0002

4101 Greenbriar Dr
Ste 320
Houston, TX 77098
Phone (713) 795-0111

7707 Fannin St
Ste 195
Houston, TX 77054
Phone (713) 797-0045

7922 Hillcroft Ave
Houston, TX 77081
Phone (281) 864-0000

3725 E League City Pkwy
League City, TX 77573
Phone (281) 549-7032

119 Vision Park Blvd
Shenandoah, TX 77384
Phone (281) 419-1123

1441 Woodstead Ct
Ste 100
The Woodlands, TX 77380
Phone (281) 363-0058

9303 New Trails Dr
Ste 185
The Woodlands, TX 77381
Phone (281) 882-3601

Practitioners & affiliated clinicians

Practitioners 155

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 155

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1114977139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 CHAMPIONS PLAZA DR",
            "address_2": "SUITE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770692396",
            "telephone_number": "832-698-5320",
            "fax_number": "425-609-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 CHAMPIONS PLAZA DR",
            "address_2": "SUITE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770692396",
            "telephone_number": "832-698-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYOU ANESTHESIA AND PAIN P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "BETHEA",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "832-698-5330",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNA BCBS GRP #",
            "identifier": "00C58P",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145835801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "0078GS",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "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 Dec 27, 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.