Individual provider Active NPI

Oren Paul Mushin, MD

  • Surgery Physician
  • Houston, TX
National Provider Identifier
1154610657
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
R0625 Issued in TX
Practice address
10504 Katy Fwy
Houston, TX 77043-5107
Phone
(713) 722-7400
Fax
(713) 722-9156
NPI assigned
Apr 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X R0625 TX Primary

Addresses

Primary practice location

10504 Katy Fwy
Houston, TX 77043-5107

Mailing address

10504 Katy Fwy
Houston, TX 77043-5107
Phone (713) 722-7400

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
I20200403002746 TX Practitioner - Plastic and Reconstructive Surgery 2365871852 Practice locations: Houston, TX

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0625TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Vein Center PastSince Jan 17, 2021 Accepting new patients
Memorial Surgical Solutions PastSince Jan 17, 2021 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1154610657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10504 KATY FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770435107",
            "telephone_number": "713-722-7400",
            "fax_number": "713-722-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10504 KATY FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770435107",
            "telephone_number": "713-722-7400",
            "fax_number": "713-722-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSHIN",
        "first_name": "OREN",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-05",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "R0625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.