Individual provider Active NPI

Mario Cervantes-Vazquez, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Kingwood, TX
National Provider Identifier
1245234616
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
H7953 Issued in TX
Practice address
22999 Highway 59 N
Kingwood, TX 77339-4412
Phone
(281) 348-8279
Fax
(281) 348-8275
NPI assigned
Jun 13, 2005
Last updated
Oct 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Pathology) Physician 207ZH0000X H7953 TX
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X H7953 TX Primary

Addresses

Primary practice location

22999 Highway 59 N
Kingwood, TX 77339-4412

Mailing address

PO Box 746559
Atlanta, GA 30374-6559
Phone (281) 348-8279

Other identifiers 2

IdentifierTypeStateIssuer
220033031OtherTXRAILROAD MEDICARE
130817316MedicaidTX

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
I20050823000353 TX Practitioner - PathologyPractitioner - Hematology 5799716403 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
PathologyAlso: Hematology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Pathology Program PLLCGroup PAC ID 3476956194, 38 clinicians

Practice addresses (Care Compare)

111 Vision Park Blvd
Shenandoah, TX 77384-3005
Phone (936) 321-0033

22999 Hwy 59 N
Kingwood, TX 77339-4412
Phone (281) 348-8279

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H7953TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westwater Diagnostics PLLC Anatomic Pathology & Clinical Pathology CurrentSince Jul 15, 2022 Accepting new patients
Baylor College of Medicine Hematology CurrentSince Apr 15, 2024 Accepting new patients
Sagis, PLLC Anatomic Pathology & Clinical Pathology CurrentSince Jun 5, 2017 Accepting new patients
Gulf Coast Pathology Program PLLC Anatomic Pathology & Clinical Pathology CurrentSince Oct 1, 2021 Accepting new patients
Mangini, Lakhia and Associates, P.a. Hematology Current Accepting new patients
Sagis PLLC CurrentSince Jun 5, 2017 Accepting new patients
Digestive Specialists of North Harris County PA CurrentSince Feb 1, 2014 Accepting new patients
Northside Pathology Group PLLC Anatomic Pathology & Clinical Pathology Past Accepting new patients
Sjap Cytology Associates PLLC Past Accepting new patients
Baylor College of Medicine Anatomic Pathology & Clinical Pathology Past Accepting new patients
Gulf Coast Pathology Program PLLC Anatomic Pathology & Clinical Pathology Past Accepting new patients
Mario Cervantes, M.D., PA Hematology PastSince Jun 1, 2013 Accepting new patients
Community Pathology Associates of Texas Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

1033 La Posada Dr
Ste 365
Austin, TX 78752

1115 Avenue G
Bay City, TX 77414
Phone (979) 245-6383

6201 Southwest Blvd
Benbrook, TX 76132
Phone (817) 731-3337

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

21214 Northwest Fwy
Cypress, TX 77429
Phone (832) 912-3500

1140 Business Center Dr
Ste 360
Houston, TX 77043
Phone (832) 303-0810

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

1313 Hermann Dr
Houston, TX 77004
Phone (713) 527-5000

2537 S Gessner Rd
Ste 200
Houston, TX 77063

4131 Directors Row
Houston, TX 77092
Phone (713) 586-6705

510 W Tidwell Rd
Houston, TX 77091
Phone (281) 618-8500

7600 Fannin St
Houston, TX 77054
Phone (713) 791-7115

110 Memorial Hospital Dr
Huntsville, TX 77340
Phone (936) 291-4276

481 Ih 45 S
Ste 7
Huntsville, TX 77340
Phone (409) 291-9704

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

4000 Spencer Hwy
Pasadena, TX 77504
Phone (713) 359-1000

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

10918 Vance Jackson Rd
Ste 100
San Antonio, TX 78230
Phone (210) 558-9996

111 Vision Park Blvd
Ste 150
Shenandoah, TX 77384
Phone (281) 444-9545

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

1211 Highway 6
Ste 70
Sugar Land, TX 77478
Phone (281) 238-3902

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

1400 Highway 59 Loop N
Wharton, TX 77488
Phone (409) 282-6080

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1245234616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746559",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746559",
            "telephone_number": "281-348-8279",
            "fax_number": "281-348-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22999 HIGHWAY 59 N",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394412",
            "telephone_number": "281-348-8279",
            "fax_number": "281-348-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVANTES-VAZQUEZ",
        "first_name": "MARIO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "TX",
            "license": "H7953",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "H7953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "220033031",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130817316",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.