Individual provider Active NPI

David P Poindexter, MD

  • Physical Medicine & Rehabilitation Physician
  • Humble, TX
National Provider Identifier
1235102393
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
G2457 Issued in TX
Practice address
9810 FM 1960 Bypass Rd W
Suite 135
Humble, TX 77338-3502
Phone
(281) 319-4122
Fax
(281) 319-4822
NPI assigned
Feb 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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
Physical Medicine & Rehabilitation Physician 208100000X G2457 TX Primary

Addresses

Primary practice location

9810 FM 1960 Bypass Rd W
Suite 135
Humble, TX 77338-3502

Mailing address

PO Box 876
Humble, TX 77347
Phone (281) 319-4122

Other identifiers 1

IdentifierTypeStateIssuer
035869901MedicaidTX

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
I20050113001166 TX Practitioner - Physical Medicine and Rehabilitation 6608825880 Practice locations: Houston, TX; Humble, TX

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Ohio State University College of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18839 McKay Dr
Humble, TX 77338-5721
Phone (281) 964-6600

20180 Chasewood Park Dr
Houston, TX 77070-1436
Phone (281) 205-5100

9810 FM 1960 Bypass Rd W
Humble, TX 77338-3523

9810 FM 1960 Bypass W Rd
Suite 135
Humble, TX 77338-3523
Phone (281) 319-4122

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Lake Institute for Rehabilitation LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235102393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 876",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "77347",
            "telephone_number": "281-319-4122",
            "fax_number": "281-319-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9810 FM 1960 BYPASS RD W",
            "address_2": "SUITE 135",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773383502",
            "telephone_number": "281-319-4122",
            "fax_number": "281-319-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POINDEXTER",
        "first_name": "DAVID",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "G2457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035869901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.