NPIMap

Organization Active NPI

Memorial City Cardiology Associates PA

  • Cardiac Rehabilitation Registered Nurse
  • Katy, TX
National Provider Identifier
1184428617
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiac Rehabilitation Registered NurseTaxonomy code 163WC3500X
Legal business name
MEMORIAL CITY CARDIOLOGY ASSOCIATES PA
Practice address
1331 W Grand Pkwy N Ste 130
Katy, TX 77493-2711
Phone
(713) 558-9508
NPI assigned
Apr 3, 2025
Last updated
Apr 3, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MEMORIAL CITY CARDIOLOGY ASSOCIATES PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Bobby Rouse Jr., CFO
Title
Cfo
Phone
(901) 219-8656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WC3500X Primary

Addresses

Primary practice location

1331 W Grand Pkwy N Ste 130
Katy, TX 77493-2711

Mailing address

1331 W Grand Pkwy N Ste 130
Katy, TX 77493-2711
Phone (713) 558-9508

Other names 1

  • Memorial City Cardiology Associates PA Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250606000059 TX Part B Supplier - Intensive Cardiac Rehabilitation 1557376167 Receives reassigned benefits from 17 practitioners
Practice locations: Katy, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Katy Cardiology2 organizations share this tax ID, including this one
Part of
Katy Cardiology

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

915 Gessner Rd
Ste 950
Houston, TX 77024
Phone (713) 464-2928

920 Frostwood Dr
Ste 760
Houston, TX 77024
Phone (713) 464-2928

1331 W Grand Pkwy N
Ste 130
Katy, TX 77493
Phone (281) 392-3401

20710 Westheimer Pkwy
Katy, TX 77450
Phone (281) 646-9000

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1184428617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 W GRAND PKWY N STE 130",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932711",
            "telephone_number": "713-558-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W GRAND PKWY N STE 130",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932711",
            "telephone_number": "713-558-9508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL CITY CARDIOLOGY ASSOCIATES PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEMORIAL CITY CARDIOLOGY ASSOCIATES PA",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "ROUSE",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "901-219-8656",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "163WC3500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial City Cardiology Associates PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.