Active NPI
Mario O. Kapusta, M.D., P.a.
- Specialist
- Houston, TX
National Provider Identifier
1164607818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- F0537
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82460J | Other | TX | BCBS GROUP |
| Z000119K7 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.