Active NPI
Christian Mark Schupp, MD
- Family Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L8943
- Practice address
- 13802 Centerfield Dr Ste 300
Houston, TX 77070-6043 - Phone
- (281) 737-0902
- NPI assigned
- Jan 8, 2007
- Last updated
- Mar 18, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L8943 | TX | Primary |
Addresses
Primary practice location
13802 Centerfield Dr Ste 300
Houston, TX 77070-6043
Mailing address
13802 Centerfield Dr Ste 300
Houston, TX 77070-6043
Phone (281) 737-0902
Other practice location 1
508 Medical Center Blvd
Conroe, TX 77304-2808
Phone (936) 522-4760
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 219170206 | Medicaid | TX | |
| 00J21A | Other | TX | GROUP MEDICARE NUMBER |
| 094010801 | Other | TX | GROUP MEDICAID NUMBER |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Texas Medical School at San Antonio, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13802 Centerfield Dr
Houston, TX 77070-6043
6445 Main St
Suite 2500
Houston, TX 77030-1502
Phone (713) 441-3150
7575 San Felipe St
Suite 155
Houston, TX 77063-1777
Phone (713) 266-9955
Hospital & facility affiliations
- Houston Methodist Willowbrook Hospital
- Houston Methodist Cypress Hospital
- Oakbend Medical Center
- Houston Methodist Hospital
- Houston Methodist the Woodlands Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A91336 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston Methodist Specialty Physicians | Current | Accepting new patients | |
| Houston Methodist | Past | Accepting new patients |
Locations
13802 Centerfield Dr
Ste 300
Houston, TX 77070
Phone (281) 737-0902
6445 Main St
Ste 2500
Houston, TX 77030
Phone (713) 441-3150
Interoperability endpoints
- cschupp66879@directhoustonmethodist.org
Organizations & group practices 3
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.
-
- Otolaryngology Physician
- Houston, TX
- NPI 1902614332
-
- Ophthalmology Physician
- Houston, TX
- NPI 1275779225
-
- Nurse Practitioner
- Houston, TX
- NPI 1992178693
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Houston Methodist The Woodlands Hospital
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1184179194
-
dba Houston Methodist Cypress Hospital
- General Acute Care Hospital
- Cypress, TX
- NPI 1629828405
-
dba Houston Methodist Willowbrook Hospital
- General Acute Care Hospital
- Houston, TX
- NPI 1871619254
-
- General Acute Care Hospital
- Richmond, TX
- NPI 1700883196
-
dba Houston Methodist Hospital
- General Acute Care Hospital
- Houston, TX
- NPI 1548387418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552867200000",
"number": "1144378084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13802 CENTERFIELD DR STE 300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770706043",
"telephone_number": "281-737-0902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13802 CENTERFIELD DR STE 300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770706043",
"telephone_number": "281-737-0902"
}
],
"practiceLocations": [
{
"address_1": "508 Medical Center Blvd",
"address_purpose": "LOCATION",
"city": "Conroe",
"state": "TX",
"postal_code": "773042808",
"country_code": "US",
"telephone_number": "936-522-4760",
"fax_number": "936-522-4763",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHUPP",
"first_name": "CHRISTIAN",
"middle_name": "MARK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2019-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "L8943",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "219170206",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE NUMBER",
"identifier": "00J21A",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICAID NUMBER",
"identifier": "094010801",
"state": "TX"
}
],
"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 Mar 18, 2019; 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.