Active NPI
Edward S Xavier, MD
- Gastroenterology Physician
- Shenandoah, TX
National Provider Identifier
1154539757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- N3395
- Practice address
- 111 Vision Park Blvd
Suite 150
Shenandoah, TX 77384-3002 - Phone
- (936) 321-0033
- Fax
- (936) 321-0032
- NPI assigned
- May 18, 2007
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | N3395 | TX | Primary |
Addresses
Primary practice location
111 Vision Park Blvd
Suite 150
Shenandoah, TX 77384-3002
Mailing address
PO Box 130894
The Woodlands, TX 77393-0894
Phone (936) 321-0033
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209252002 | Medicaid | TX | |
| 209252001 | Medicaid | TX |
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
- Gastroenterology
- Education
- University of Massachusetts Medical School, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Vision Park Blvd
Suite 150
Shenandoah, TX 77384-3005
Phone (936) 321-0033
Hospital & facility affiliations
- Memorial Hermann Hospital System
- Houston Methodist the Woodlands Hospital
- Memorial Hermann Northeast Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 61 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 90 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digestive Specialists of North Harris County PA | Gastroenterology | Current | Accepting new patients |
Locations
800 Peakwood Dr
Ste 6H
Houston, TX 77090
Phone (281) 886-7440
111 Vision Park Blvd
Ste 160
Shenandoah, TX 77384
Phone (936) 321-8910
111 Vision Park Blvd
Ste 150
Shenandoah, TX 77384
Phone (281) 444-9545
Interoperability endpoints
- exavier67095@memorialhermann.direct-ci.com
Organizations & group practices 1
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.
-
- Gastroenterology Physician
- Shenandoah, TX
- NPI 1962402420
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Humble, TX
- NPI 1295843787
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1184179194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274313600000",
"number": "1154539757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 130894",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773930894",
"telephone_number": "936-321-0033",
"fax_number": "936-321-0032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 VISION PARK BLVD",
"address_2": "SUITE 150",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773843002",
"telephone_number": "936-321-0033",
"fax_number": "936-321-0032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XAVIER",
"first_name": "EDWARD",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2010-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "N3395",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209252002",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209252001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.