NPIMap

Individual provider Active NPI

Theresa G Vicroy, M.D.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1205876232
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H1713 Issued in TX
Practice address
6560 Fannin St
Suite 1012
Houston, TX 77030-2761
Phone
(281) 657-0770
Fax
(281) 657-1117
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H1713 TX Primary

Addresses

Primary practice location

6560 Fannin St
Suite 1012
Houston, TX 77030-2761

Mailing address

6560 Fannin St
Suite 1012
Houston, TX 77030-2761
Phone (281) 657-0770

Other identifiers 1

IdentifierTypeStateIssuer
8J0800OtherTXBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040519000595 TX Practitioner - Internal Medicine 0941291017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Washington University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Action Therapy Centers LimitedGroup PAC ID 3173433265, shared by 3 NPIs, 76 clinicians

Practice addresses (Care Compare)

4009 Bellaire Blvd
Suite M
Houston, TX 77025-1168

6560 Fannin St
Suite 1012
Houston, TX 77030-2785
Phone (281) 657-0770

Hospital & facility affiliations

  • Doctor'S Choice Home Care Home health agency, Houston, TX, CCN 678169
  • Signature Health Services Home health agency, Baytown, TX, CCN 678499
  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358
  • Memorial Hermann Houston Physicians Hospital Hospital, Webster, TX, CCN 670008
  • Houston Methodist West Hospital Hospital, Houston, TX, CCN 670077
  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122
  • Houston Methodist Cypress Hospital Hospital, Cypress, TX, CCN 670342

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H1713TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Internal Medicine, P.a. Internal Medicine CurrentSince Apr 21, 2003 Accepting new patients
Diagnostic Clinic of Houston Lab Past Accepting new patients
Diagnostic Clinic of Houston Internal Medicine Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

6560 Fannin St
Ste 1012
Houston, TX 77030
Phone (281) 657-0770

Interoperability endpoints

  • Direct secure messaging: theresa.vicroy.1@13403.direct.athenahealth.com
  • Direct secure messaging: tvicroy20780@directhoustonmethodist.org

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.

Hospital & facility affiliations 7

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205876232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST",
            "address_2": "SUITE 1012",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302761",
            "telephone_number": "281-657-0770",
            "fax_number": "281-657-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST",
            "address_2": "SUITE 1012",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302761",
            "telephone_number": "281-657-0770",
            "fax_number": "281-657-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICROY",
        "first_name": "THERESA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H1713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8J0800",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.