Organization Active NPI

Orthopaedic Institute for Spinal Disorders P a

  • Orthopaedic Surgery of the Spine Physician
  • Houston, TX
National Provider Identifier
1144407032
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
ORTHOPAEDIC INSTITUTE FOR SPINAL DISORDERS P A
Practice address
2500 Fondren Rd Ste 210
Houston, TX 77063-2313
Phone
(713) 781-5676
Fax
(713) 781-5712
NPI assigned
Jan 23, 2008
Last updated
Sep 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
Jose E Rodriguez, MDNPI 1316980998
Title
Authorized Official
Phone
(713) 781-5676

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Orthopaedic Surgery of the Spine Physician 207XS0117X H6934 TX
Orthopaedic Surgery of the Spine Physician 207XS0117X NU Primary

Addresses

Primary practice location

2500 Fondren Rd Ste 210
Houston, TX 77063-2313

Mailing address

2500 Fondren Rd Ste 210
Houston, TX 77063-2313
Phone (713) 781-5676

Other practice location 1

1213 Hermann Drive
Ste 255
Houston, TX 77004-7074
Phone (713) 781-5676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120411000864 TX Part B Supplier - Clinic/Group Practice 0749441160 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX; Mission, TX
O20241209001419 TX DME Supplier - Physician - Orthopedic/Orthopedic SurgeryDME Supplier - Sports Medicine 0749441160 Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

2009 E Griffin Pkwy
Mission, TX 78572
Phone (956) 600-7747

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1144407032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 FONDREN RD STE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632313",
            "telephone_number": "713-781-5676",
            "fax_number": "713-781-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 FONDREN RD STE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632313",
            "telephone_number": "713-781-5676",
            "fax_number": "713-781-5712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1213 Hermann Drive",
            "address_2": "Ste 255",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770047074",
            "country_code": "US",
            "telephone_number": "713-781-5676",
            "fax_number": "713-781-5712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORTHOPAEDIC INSTITUTE FOR SPINAL DISORDERS P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-781-5676",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "H6934",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NU",
            "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 Sep 27, 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.

Verify at the official NPI Registry.