Individual provider Active NPI

Andres Hugo Keichian, M.D.

  • Neurology Physician
  • Houston, TX
National Provider Identifier
1225020019
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
E3338 Issued in TX
Practice address
3003 South Loop W
Suite 505
Houston, TX 77054-1375
Phone
(713) 218-9443
Fax
(713) 218-9447
NPI assigned
Aug 17, 2005
Last updated
Apr 26, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X E3338 TX Primary

Addresses

Primary practice location

3003 South Loop W
Suite 505
Houston, TX 77054-1375

Mailing address

3003 South Loop W
Suite 505
Houston, TX 77054-1375
Phone (713) 218-9443

Other identifiers 1

IdentifierTypeStateIssuer
136650210MedicaidTX

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
I20080415000160 TX Practitioner - NeurologyPractitioner - Diagnostic Radiology 4486732575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Diagnostic Radiology
Education
Other, 1964
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3003 S Loop W
Suite 505
Houston, TX 77054-1375
Phone (713) 218-9443

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E3338TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andres H Keichian, MD, PA Neurology CurrentSince Nov 2, 2007 Accepting new patients

Locations

3003 S Loop W
Ste 505
Houston, TX 77054
Phone (713) 218-9443

Interoperability endpoints

  • Direct secure messaging: andres.keichian.1@13131.direct.athenahealth.com
  • Direct secure messaging: southtexastherapy@ppdxdirect.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272240000000",
    "number": "1225020019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 SOUTH LOOP W",
            "address_2": "SUITE 505",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541375",
            "telephone_number": "713-218-9443",
            "fax_number": "713-218-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 SOUTH LOOP W",
            "address_2": "SUITE 505",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541375",
            "telephone_number": "713-218-9443",
            "fax_number": "713-218-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEICHIAN",
        "first_name": "ANDRES",
        "middle_name": "HUGO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2010-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "E3338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136650210",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.