Individual provider Active NPI

Stuart Erich Boss, M.D.

  • Emergency Medicine Physician
  • Bellaire, TX
National Provider Identifier
1124316989
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
N8767 Issued in TX
Practice address
4801 Bissonnet St
Bellaire, TX 77401-4028
Phone
(713) 275-1111
Fax
(713) 275-6092
NPI assigned
Jul 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X N8767 TX Primary

Addresses

Primary practice location

4801 Bissonnet St
Bellaire, TX 77401-4028

Mailing address

4801 Bissonnet St
Bellaire, TX 77401-4028
Phone (713) 275-1111

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
I20120809000144 TX Practitioner - Emergency Medicine 1759537681 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N8767TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
USA Emergency Centers - Clear Lake, LLC Past Accepting new patients

Locations

20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000

2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

1317 Lake Pointe Pkwy
Sugar Land, TX 77478
Phone (281) 277-1101

17200 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-2008

17400 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-4055

6720 Bertner Ave
Va Hospital, TX 77030
Phone (713) 785-8537

Organizations & group practices 2

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": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1124316989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 BISSONNET ST",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014028",
            "telephone_number": "713-275-1111",
            "fax_number": "713-275-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 BISSONNET ST",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014028",
            "telephone_number": "713-275-1111",
            "fax_number": "713-275-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSS",
        "first_name": "STUART",
        "middle_name": "ERICH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-14",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N8767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.