Individual provider Active NPI

Yordanos B Ayalew

  • Land Ambulance
  • Houston, TX
National Provider Identifier
1134409709
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1000676 Issued in TX
Practice address
7457 Harwin Dr
Suite 303a
Houston, TX 77036-2026
Phone
(713) 782-0200
Fax
(832) 263-0618
NPI assigned
Aug 26, 2011
Last updated
Aug 26, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1000676 TX Primary

Addresses

Primary practice location

7457 Harwin Dr
Suite 303a
Houston, TX 77036-2026

Mailing address

7457 Harwin Dr
Suite 303a
Houston, TX 77036-2026
Phone (713) 782-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1000676TXMDLand Ambulance

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Caregivers Inc Past Accepting new patients
Carribean EMS Land Transport Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314316800000",
    "number": "1134409709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7457 HARWIN DR",
            "address_2": "SUITE 303A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362026",
            "telephone_number": "713-782-0200",
            "fax_number": "832-263-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7457 HARWIN DR",
            "address_2": "SUITE 303A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362026",
            "telephone_number": "713-782-0200",
            "fax_number": "832-263-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALEW",
        "first_name": "YORDANOS",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-26",
        "last_updated": "2011-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000676",
            "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 Aug 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.