Active NPI
Richard J Kondejewski, M.D.
- General Practice Physician
- Houston, TX
National Provider Identifier
1174546204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- F0548
- Practice address
- 16000 Park Ten PL Ste 802
Houston, TX 77084 - Phone
- (281) 519-7826
- Fax
- (281) 944-9359
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | F0548 | TX | Primary |
Addresses
Primary practice location
16000 Park Ten PL Ste 802
Houston, TX 77084
Mailing address
PO Box 1608
League City, TX 77574-1608
Phone (713) 776-0091
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynacare Medical & Chiropractic | Past | Accepting new patients | |
| Healthcare & Wellness | Past | Accepting new patients | |
| Munzoor Ahmad Rana Texas Medical and Chiropractic Centers | Past | Accepting new patients | |
| Adom Rehab and Physical Medicine | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Occupational Medicine Clinic/Center
- Houston, TX
- NPI 1265598734
-
- Preferred Provider Organization
- Houston, TX
- NPI 1114119476
-
- Occupational Medicine Clinic/Center
- Houston, TX
- NPI 1750503157
-
- Internal Medicine Physician
- Houston, TX
- NPI 1285803726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529020800000",
"number": "1174546204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1608",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775741608",
"telephone_number": "713-776-0091",
"fax_number": "713-776-0093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16000 PARK TEN PL STE 802",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77084",
"telephone_number": "281-519-7826",
"fax_number": "281-944-9359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONDEJEWSKI",
"first_name": "RICHARD",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2018-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TX",
"license": "F0548",
"primary": true
}
],
"identifiers": [],
"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 Jun 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.