Individual provider Active NPI

Robert B. Parke Jr., M.D.

  • Otolaryngology Physician
  • Houston, TX
National Provider Identifier
1154329894
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
E1918 Issued in TX
Practice address
6550 Fannin St
Suite 1701-Att Renee Brown
Houston, TX 77030-2717
Phone
(713) 798-8291
Fax
(713) 798-5294
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X C2619 KY
Otolaryngology Physician 207Y00000X E1918 TX Primary

Addresses

Primary practice location

6550 Fannin St
Suite 1701-Att Renee Brown
Houston, TX 77030-2717

Mailing address

6550 Fannin St
Suite 1701-Att Renee Brown
Houston, TX 77030-2717
Phone (713) 798-8291

Other practice location 1

1000 Breckenridge St Ste 303
Owensboro, KY 42303-0877
Phone (270) 688-2720

Other identifiers 1

IdentifierTypeStateIssuer
128568604MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jparke10668@bcm.ghhdirect.net

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110315000404 TX Practitioner - OtolaryngologyPractitioner - Other (Physician) 3072795897 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Mar 4, 2014 Accepting new patients
Baylor College of Medicine CurrentSince Mar 4, 2014 Accepting new patients
Baylor College of Medicine CurrentSince Jul 1, 2011 Accepting new patients
Baylor College of Medicine CurrentSince Jul 1, 2011 Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

6550 Fannin St
Houston, TX 77030
Phone (713) 363-9604

1977 Butler Blvd
Ste E5
Houston, TX 77030
Phone (713) 527-0437

6550 Fannin St
Ste 1701ATT
Houston, TX 77030
Phone (713) 798-8291

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

6550 Fannin St
Ste 1701
Houston, TX 77030
Phone (713) 798-5900

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1154329894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST",
            "address_2": "SUITE 1701-ATT RENEE BROWN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302717",
            "telephone_number": "713-798-8291",
            "fax_number": "713-798-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST",
            "address_2": "SUITE 1701-ATT RENEE BROWN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302717",
            "telephone_number": "713-798-8291",
            "fax_number": "713-798-5294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Breckenridge St Ste 303",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423030877",
            "country_code": "US",
            "telephone_number": "270-688-2720",
            "fax_number": "270-688-2729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKE",
        "first_name": "ROBERT",
        "middle_name": "B.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "C2619",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "E1918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128568604",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jparke10668@bcm.ghhdirect.net",
            "affiliation": "N",
            "address_1": "1977 Butler Blvd Ste E5",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770304101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.