Active NPI
Paul Michael Palumbo, O.D.
- Optometrist
- Kingwood, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7715TG
- Practice address
- 22741 Professional Dr
Kingwood, TX 77339-6005 - Phone
- (281) 319-4334
- Fax
- (281) 319-4855
- NPI assigned
- Aug 5, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 7715TG | TX | Primary |
Addresses
Primary practice location
22741 Professional Dr
Kingwood, TX 77339-6005
Mailing address
22741 Professional Dr
Kingwood, TX 77339-6005
Phone (281) 319-4334
Other practice location 1
3100 Weslayan St
Suite 400
Houston, TX 77027-5727
Phone (713) 526-1600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 287247501 | Medicaid | TX | |
| 287247502 | Medicaid | TX | |
| 287247503 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | paul.palumbo@direct.berkeleyeye.com | Berkeley Eye Institute, PLLC |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22741 Professional Dr
Kingwood, TX 77339-6005
Phone (281) 319-4334
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.82 of 100
- Quality
- 81.48
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7715 | TX | MD | Behavioral Analyst |
| 7715TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berkeley Eye Institute, PLLC | Optometrist | Current | Accepting new patients |
| Berkeley Eye Institute, PLLC | Optometrist | Current | Accepting new patients |
| Berkeley Eye Institute, PLLC | Optometrist | Current | Accepting new patients |
| Clear Lake Eye Center LLP | Optometrist | Past | Accepting new patients |
Locations
605 Medical Ct
Ste 203
Brenham, TX 77833
Phone (979) 353-5556
3100 Weslayan St
Ste 400
Houston, TX 77027
Phone (713) 526-1600
22741 Professional Dr
Kingwood, TX 77339
Phone (281) 319-4334
1535 Cullen Blvd
Ste 200
Pearland, TX 77581
Phone (713) 436-1551
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.
-
- Optometrist
- Houston, TX
- NPI 1255338612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1184903361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22741 PROFESSIONAL DR",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773396005",
"telephone_number": "281-319-4334",
"fax_number": "281-319-4855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22741 PROFESSIONAL DR",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773396005",
"telephone_number": "281-319-4334",
"fax_number": "281-319-4855"
}
],
"practiceLocations": [
{
"address_1": "3100 Weslayan St",
"address_2": "Suite 400",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770275727",
"country_code": "US",
"telephone_number": "713-526-1600",
"fax_number": "713-620-7697",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALUMBO",
"first_name": "PAUL",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-05",
"last_updated": "2023-11-27",
"certification_date": "2020-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "7715TG",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "287247501",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "287247502",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "287247503",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "paul.palumbo@direct.berkeleyeye.com",
"affiliation": "Y",
"affiliationName": "Berkeley Eye Institute, PLLC",
"address_1": "22741 Professional Dr",
"city": "Kingwood",
"state": "TX",
"country_code": "US",
"postal_code": "773396005",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.