Individual provider Active NPI

Charles Clifton Wykoff, MD, PHD

  • Ophthalmology Physician
  • Bellaire, TX
National Provider Identifier
1124237300
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
N9336 Issued in TX
Practice address
4460 Bissonnet St Ste 200
Bellaire, TX 77401-3218
Phone
(713) 524-3434
Fax
(713) 524-3220
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X N9336 TX
Ophthalmology Physician 207W00000X N9336 TX Primary

Addresses

Primary practice location

4460 Bissonnet St Ste 200
Bellaire, TX 77401-3218

Mailing address

4460 Bissonnet St Ste 200
Bellaire, TX 77401-3218
Phone (713) 524-3434

Other identifiers 2

IdentifierTypeStateIssuer
TXB127953OtherTXMEDICARE ID
282988901MedicaidTX

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
I20110609000210 TX Practitioner - Ophthalmology 5991842924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Harvard Medical School, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Consultants of Houston PLLCGroup PAC ID 6103841820, 26 clinicians

Practice addresses (Care Compare)

17450 St Lukes Way
400 Retina Consultants of Texas
The Woodlands, TX 77384-2000
Phone (713) 524-3434

Hospital & facility affiliations

  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358

Merit-based Incentive Payment System (MIPS)

Final score
99.93 of 100Reported as group
Quality
99.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Consultants of Houston PLLC Ophthalmology CurrentSince Jun 20, 2011 Accepting new patients
Retina Consultants of Houston PLLC Ophthalmology CurrentSince Jun 20, 2011 Accepting new patients
University of Miami Past Accepting new patients
Retina Consultants of Houston PLLC Ophthalmology Past Accepting new patients
Retina Consultants of Houston PLLC Ophthalmology Past Accepting new patients

Locations

87 Interstate 10 N
Ste 103
Beaumont, TX 77707

4460 Bissonnet St
Ste 200
Bellaire, TX 77401

2620 Highway 36 S
Brenham, TX 77833

2620 Becker Dr
Brenham, TX 77833

21216 Northwest Fwy
Ste 520
Cypress, TX 77429
Phone (281) 955-7900

11460 Space Center Blvd
#2
Houston, TX 77059

6560 Fannin St
Ste 750
Houston, TX 77030
Phone (713) 441-3780

10100 Katy Fwy
Ste 100
Houston, TX 77043

11460 Space Center Blvd
Ste 2
Houston, TX 77059

1360 Post Oak Blvd
Ste 800
Houston, TX 77056

10130 Louetta Rd
Ste G
Houston, TX 77070
Phone (281) 440-4089

23510 Kingsland Blvd
Ste 300
Katy, TX 77494
Phone (713) 850-0240

350 Kingwood Medical Dr
Ste 200
Kingwood, TX 77339

400 Bypass Ln
Ste 105
Livingston, TX 77352
Phone (936) 327-7812

10907 Memorial Hermann Dr
Ste 450
Pearland, TX 77584

6921 Brisbane Ct
Ste 200
Sugar Land, TX 77479
Phone (512) 524-3434

17450 St Lukes Way
Ste 400
The Woodlands, TX 77384
Phone (713) 563-0050

Interoperability endpoints

  • Direct secure messaging: cwykoff33384@directhoustonmethodist.org

Organizations & group practices 5

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 1

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1124237300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 BISSONNET ST STE 200",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013218",
            "telephone_number": "713-524-3434",
            "fax_number": "713-524-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 BISSONNET ST STE 200",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013218",
            "telephone_number": "713-524-3434",
            "fax_number": "713-524-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYKOFF",
        "first_name": "CHARLES",
        "middle_name": "CLIFTON",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": "N9336",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "N9336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "TXB127953",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282988901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.