Active NPI
Kanmony Mathew, ACNPC-AG
- Acute Care Nurse Practitioner
- Richmond, TX
National Provider Identifier
1124491618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- AP129286
- Practice address
- 17210 Bland Mills LN
Richmond, TX 77407-2718 - Phone
- (832) 454-7694
- NPI assigned
- Nov 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | AP129286 | TX | Primary |
Addresses
Primary practice location
17210 Bland Mills LN
Richmond, TX 77407-2718
Mailing address
17210 Bland Mills LN
Richmond, TX 77407-2718
Phone (832) 454-7694
Other names 1
- Kanmony Paul
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17510 W Grand Pkwy S
Suite 330
Sugar Land, TX 77479-2648
Phone (713) 772-4600
6400 Fannin St
Suite 2700
Houston, TX 77030-1539
Phone (713) 486-5000
6410 Fannin St
Houston, TX 77030-3005
Hospital & facility affiliations
- Memorial Hermann - Texas Medical Center
- Memorial Hermann Hospital System
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.11 of 100
- Quality
- 69.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP129286 | TX | MD | Acute Care Nurse Practitioner |
Interoperability endpoints
- kmathew47536@memorialhermann.direct-ci.com
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Houston, TX
- NPI 1033157821
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Houston, TX
- NPI 1437189115
Hospital
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
- General Acute Care Hospital
- Houston, TX
- NPI 1982666111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448496000000",
"number": "1124491618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17210 BLAND MILLS LN",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774072718",
"telephone_number": "832-454-7694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17210 BLAND MILLS LN",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774072718",
"telephone_number": "832-454-7694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "KANMONY",
"credential": "ACNPC-AG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-05",
"last_updated": "2015-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "AP129286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KANMONY",
"last_name": "PAUL",
"credential": "ACNPC-AG",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.