Active NPI
Michael J Chambers, MD
- Family Medicine Physician
- Houston, TX
National Provider Identifier
1225236946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME97508
- Practice address
- 1133 John Freeman Blvd.
JJL S80-10
Houston, TX 77030-2809 - Phone
- (713) 500-6325
- Fax
- (713) 500-0706
- NPI assigned
- Jul 3, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G73588 | CA | |
| Family Medicine Physician | 207Q00000X | ME97508 | FL | Primary |
Addresses
Primary practice location
1133 John Freeman Blvd.
JJL S80-10
Houston, TX 77030-2809
Mailing address
1133 John Freeman Blvd.
JJL S80-10
Houston, TX 77030-2809
Phone (713) 500-6325
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0256332 | Medicaid | CA | |
| 1225236946 | Other | NPI | |
| G73588 | Other | MEDICAL BOARD OF CALIFORNIA | |
| 22886 | Other | MS | MISSISSIPPI MEDICAL LICENSE |
| ME97508 | Other | MEDICAL BOARD OF FLORIDA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73588 | CA | MD | Pharmacist |
| G73588 | CA | MD | Family Medicine Physician |
| ME97508 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles LGBT Center | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1225599178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647993600000",
"number": "1225236946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 JOHN FREEMAN BLVD.",
"address_2": "JJL S80-10",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302809",
"telephone_number": "713-500-6325",
"fax_number": "713-500-0706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 JOHN FREEMAN BLVD.",
"address_2": "JJL S80-10",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302809",
"telephone_number": "713-500-6325",
"fax_number": "713-500-0706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBERS",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-03",
"last_updated": "2022-03-23",
"certification_date": "2022-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G73588",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME97508",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0256332",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1225236946",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL BOARD OF CALIFORNIA",
"identifier": "G73588",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSISSIPPI MEDICAL LICENSE",
"identifier": "22886",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL BOARD OF FLORIDA",
"identifier": "ME97508",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.