Organization Active NPI

Mario O. Kapusta, M.D., P.a.

  • Specialist
  • Houston, TX
National Provider Identifier
1164607818
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
F0537 Issued in TX
Legal business name
MARIO O. KAPUSTA, M.D., P.A.
Practice address
5585 Weslayan St
Houston, TX 77005-1941
Phone
(713) 349-8346
Fax
(713) 218-8346
NPI assigned
Dec 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Authorized official

Name
Dr. Mario Osvaldo Kapusta, M.D.NPI 1437268943
Title
President
Phone
(713) 349-8346

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X F0537 TX Primary

Addresses

Primary practice location

5585 Weslayan St
Houston, TX 77005-1941

Mailing address

PO Box 6730
Houston, TX 77265-6730
Phone (713) 349-8346

Other identifiers 2

IdentifierTypeStateIssuer
82460JOtherTXBCBS GROUP
Z000119K7MedicaidTX

National Provider Directory

National Provider Directory

Locations

5585 Weslayan St
Houston, TX 77005
Phone (713) 240-4913

6410 Fannin St
#907
Houston, TX 77030
Phone (713) 797-0794

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1164607818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6730",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772656730",
            "telephone_number": "713-349-8346",
            "fax_number": "713-218-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5585 WESLAYAN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051941",
            "telephone_number": "713-349-8346",
            "fax_number": "713-218-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO O. KAPUSTA, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "KAPUSTA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "OSVALDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-349-8346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "F0537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "82460J",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z000119K7",
            "state": "TX"
        }
    ],
    "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 Dec 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.