Individual provider Active NPI

Raymond Michael Nieto, M.D.

  • Hospitalist Physician
  • Lake Jackson, TX
National Provider Identifier
1184062135
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
S5452 Issued in TX
Practice address
100 Medical Dr
Lake Jackson, TX 77566-5674
Phone
(979) 297-4411
Fax
(979) 299-2878
NPI assigned
Jun 12, 2013
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X S5452 TX
Hospitalist Physician 208M00000X S5452 TX Primary

Addresses

Primary practice location

100 Medical Dr
Lake Jackson, TX 77566-5674

Mailing address

100 Medical Dr
Lake Jackson, TX 77566-5674
Phone (979) 297-4411

Other practice location 1

201 That Way St
Lake Jackson, TX 77566-5211
Phone (713) 442-3500

Other practice location 2

1 Mellon Way
Latrobe, PA 15650-1197
Phone (724) 537-1207

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
I20200812000309 TX Practitioner - Emergency MedicinePractitioner - Family PracticePractitioner - Hospitalist 0840560124 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice, Hospitalist
Education
Baylor College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ies Hospitalists PLLCGroup PAC ID 4486041472, 15 clinicians

Practice addresses (Care Compare)

100 Medical Dr
Lake Jackson, TX 77566-5674
Phone (979) 297-4411

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kelsey-Seybold Medical Group, PLLC Family Medicine CurrentSince Dec 1, 2025 Accepting new patients
Ies Hospitalists PLLC Hospitalist CurrentSince Feb 16, 2022 Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC CurrentSince Feb 16, 2022 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Texas Em-I Medical Services, PA Past Accepting new patients
The Community Hospital of Brazosport Past Accepting new patients

Locations

2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

106 Circle Way St
Ste A
Lake Jackson, TX 77566
Phone (713) 442-3523

201 That Way St
Lake Jackson, TX 77566
Phone (713) 442-3500

201 Enterprise Ave
Ste 900
League City, TX 77573
Phone (713) 442-2826

600 S Bonham St
Mexia, TX 76667
Phone (254) 562-5332

7010 Highway 6
Missouri City, TX 77459
Phone (713) 442-4200

4500 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 487-2786

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

2515 Business Center Dr
Pearland, TX 77584
Phone (713) 442-7200

Interoperability endpoints

  • Direct secure messaging: rnieto213208@direct.kelsey-seybold.com
  • Direct secure messaging: rnieto28793@direct.stlukeshealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1184062135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL DR",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665674",
            "telephone_number": "979-297-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL DR",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665674",
            "telephone_number": "979-297-4411",
            "fax_number": "979-299-2878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 That Way St",
            "address_purpose": "LOCATION",
            "city": "Lake Jackson",
            "state": "TX",
            "postal_code": "775665211",
            "country_code": "US",
            "telephone_number": "713-442-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Mellon Way",
            "address_purpose": "LOCATION",
            "city": "Latrobe",
            "state": "PA",
            "postal_code": "156501197",
            "country_code": "US",
            "telephone_number": "724-537-1207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIETO",
        "first_name": "RAYMOND",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-12",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S5452",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "S5452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

Verify at the official NPI Registry.