Individual provider Active NPI

Anthony Powell Gualtieri, M.D

  • Orthopaedic Surgery Physician
  • Houston, TX
National Provider Identifier
1154777050
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
V2090 Issued in TX
Practice address
10496 Katy Fwy Ste 101
Houston, TX 77043-5269
Phone
(346) 571-7500
Fax
(713) 492-2440
NPI assigned
May 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 286461 MA
Orthopaedic Surgery Physician 207X00000X V2090 TX Primary

Addresses

Primary practice location

10496 Katy Fwy Ste 101
Houston, TX 77043-5269

Mailing address

10496 Katy Fwy Ste 101
Houston, TX 77043-5269
Phone (346) 571-7500

Other practice location 1

77 Herrick St Ste 201
Beverly, MA 01915-2796
Phone (978) 927-3040

Other practice location 2

550 1st Ave
New York, NY 10016-6402
Phone (212) 263-5506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210622003079 MA Practitioner - Orthopedic Surgery 4587904347 Reassigns benefits to 3 organizations
I20240828005342 TX Practitioner - Orthopedic Surgery 4587904347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Columbia University College of Physicians and Surgeons, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inov8 OrthopedicsGroup PAC ID 2567752728, 11 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
Coastal Orthopedic Associates IncGroup PAC ID 8325101637, 21 clinicians

Practice addresses (Care Compare)

10496 Katy Fwy
Suite 101
Houston, TX 77043-5269
Phone (346) 571-7500

8215 Cypresswood Dr
Spring, TX 77379-7466
Phone (832) 717-0877

99 Conifer Hill Dr
Suite 204
Danvers, MA 01923-1194
Phone (978) 927-3040

Hospital & facility affiliations

  • Memorial Hermann Memorial City Hospital Hospital, Houston, TX, CCN 450610
  • Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847
  • Houston Methodist West Hospital Hospital, Houston, TX, CCN 670077

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement40
Knee replacement36
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
286461MAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inov8 Orthopedics Orthopaedic Surgery CurrentSince Sep 3, 2024 Accepting new patients
New England Baptist Medical Associates, Inc. Orthopaedic Surgery CurrentSince Aug 1, 2021 Accepting new patients
Orthopaedic Clinical Assoc Inc. CurrentSince Aug 1, 2021 Accepting new patients
Coastal Orthopedic Associates Inc Orthopaedic Surgery CurrentSince Jun 26, 2022 Accepting new patients
Coastal Orthopedic Associates Inc Orthopaedic Surgery CurrentSince Jun 26, 2022 Accepting new patients

Locations

77 Herrick St
Ste 201
Beverly, MA 01915
Phone (978) 927-3040

99 Conifer Hill Dr
Ste 204
Danvers, MA 01923
Phone (978) 927-3040

91 Parker Hill Ave
Roxbury Xing, MA 02120
Phone (617) 754-6742

125 Parker Hill Ave
Roxbury Xing, MA 02120
Phone (617) 264-1100

10496 Katy Fwy
Ste 101
Houston, TX 77043
Phone (346) 571-7500

Interoperability endpoints

  • Direct secure messaging: agualtieri@inov8.emadirect.md

Organizations & group practices 6

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1154777050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10496 KATY FWY STE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770435269",
            "telephone_number": "346-571-7500",
            "fax_number": "713-492-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10496 KATY FWY STE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770435269",
            "telephone_number": "346-571-7500",
            "fax_number": "713-492-2440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Herrick St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "019152796",
            "country_code": "US",
            "telephone_number": "978-927-3040",
            "fax_number": "978-927-0443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 1st Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166402",
            "country_code": "US",
            "telephone_number": "212-263-5506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUALTIERI",
        "first_name": "ANTHONY",
        "middle_name": "POWELL",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-10",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "286461",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "V2090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.