Active NPI
Nu Physician Medical Group PLLC
- Internal Medicine Physician
- Houston, TX
National Provider Identifier
1124676366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NU PHYSICIAN MEDICAL GROUP PLLC
- Practice address
- 6441 Main St
Houston, TX 77030-1502 - Phone
- (281) 363-3156
- NPI assigned
- Aug 30, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kahlil Martin, MD
- Title
- Owner
- Phone
- (281) 363-3156
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | |||
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
6441 Main St
Houston, TX 77030-1502
Mailing address
PO Box 520
Spring, TX 77383-0520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718668800000",
"number": "1124676366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 520",
"city": "SPRING",
"state": "TX",
"postal_code": "773830520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6441 MAIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301502",
"telephone_number": "281-363-3156"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NU PHYSICIAN MEDICAL GROUP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-30",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "KAHLIL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "281-363-3156",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jun 18, 2024; 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.