Individual provider Active NPI

Cullen Andrew Hebert, MD

  • Specialist
  • Sugar Land, TX
National Provider Identifier
1124014337
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
Q8259 Issued in TX
Practice address
16811 Southwest Fwy Ste 300
Sugar Land, TX 77479-4728
Phone
(281) 274-8050
Fax
(225) 765-2013
NPI assigned
Sep 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X Q8259 TX
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 017489 LA
Pulmonary Disease Physician 207RP1001X 017489 LA
Specialist 174400000X Q8259 TX Primary

Addresses

Primary practice location

16811 Southwest Fwy Ste 300
Sugar Land, TX 77479-4728

Mailing address

16811 Southwest Fwy Ste 300
Sugar Land, TX 77479-4728
Phone (281) 274-8050

Other identifiers 3

IdentifierTypeStateIssuer
08026753MedicaidMS
1395170MedicaidLA
358607502MedicaidTX

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
I20160616002375 TX Practitioner - Critical Care (Intensivists)Practitioner - Other (Physician) 3476642109 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
Q8259TXMDSpecialist
17489LAMDPharmacist
017489LAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC Critical Care Medicine CurrentSince Jul 19, 2016 Accepting new patients
TMH Physician Associates PLLC CurrentSince Jul 19, 2016 Accepting new patients
Critical Care Physicians, LLC Pulmonary Disease Past Accepting new patients
Our Lady of the Lake Physician Group LLC Past Accepting new patients

Locations

6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633

16811 Southwest Fwy
Ste 300
Sugar Land, TX 77479
Phone (281) 274-8050

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

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.

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1124014337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16811 SOUTHWEST FWY STE 300",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794728",
            "telephone_number": "281-274-8050",
            "fax_number": "225-765-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16811 SOUTHWEST FWY STE 300",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794728",
            "telephone_number": "281-274-8050",
            "fax_number": "225-765-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBERT",
        "first_name": "CULLEN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "Q8259",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "LA",
            "license": "017489",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "LA",
            "license": "017489",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "Q8259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08026753",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1395170",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "358607502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.