Individual provider Active NPI

Mary Ostrowski, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Conroe, TX
National Provider Identifier
1174528418
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
J1341 Issued in TX
Practice address
504 Medical Center Blvd
Conroe, TX 77304-2808
Phone
(713) 481-3544
Fax
(713) 432-0221
NPI assigned
Jun 14, 2005
Last updated
Mar 19, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X J1341 TX
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X J1341 TX Primary

Addresses

Primary practice location

504 Medical Center Blvd
Conroe, TX 77304-2808

Mailing address

PO Box 4677
Houston, TX 77210-4677

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
I20040823000952 TX Practitioner - Pathology 7113991498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Tufts University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor College of MedicineGroup PAC ID 8527956176, 47 clinicians

Practice addresses (Care Compare)

21214 Northwest Fwy
Cypress, TX 77429-3373
Phone (713) 432-1500

6720 Bertner Ave
Houston, TX 77030-2604
Phone (713) 481-3500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J1341TXMDCytopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine Cytopathology CurrentSince Jul 1, 2006 Accepting new patients
Gulf Coast Pathology Program PLLC Anatomic Pathology & Clinical Pathology Current Accepting new patients
North Houston Pathology Associates, LLP Anatomic Pathology & Clinical Pathology Past Accepting new patients
Baylor College of Medicine Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

1115 Avenue G
Bay City, TX 77414
Phone (979) 245-6383

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

481 Ih 45 S
Ste 7
Huntsville, TX 77340
Phone (409) 291-9704

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1174528418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4677",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 MEDICAL CENTER BLVD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042808",
            "telephone_number": "713-481-3544",
            "fax_number": "713-432-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTROWSKI",
        "first_name": "MARY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "TX",
            "license": "J1341",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "J1341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.