Individual provider Active NPI

Philip J Huber Jr., MD

  • Colon & Rectal Surgery Physician
  • Dallas, TX
National Provider Identifier
1245272145
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
E3311 Issued in TX
Practice address
8160 Walnut Hill LN
Ste 306
Dallas, TX 75231-4339
Phone
(214) 345-8060
Fax
(214) 345-8229
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X E3311 TX Primary

Addresses

Primary practice location

8160 Walnut Hill LN
Ste 306
Dallas, TX 75231-4339

Mailing address

7777 Forest LN Ste C204
Dallas, TX 75230-6833
Phone (972) 566-6115

Other identifiers 4

IdentifierTypeStateIssuer
105004905MedicaidTX
105004906MedicaidTX
105004904MedicaidTX
105004903MedicaidTX

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
I20041228000283 TX Practitioner - Colorectal Surgery (Proctology)Practitioner - Family Practice 5294793030 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Vascular and Surgical Group Colon & Rectal Surgery CurrentSince Jan 10, 2005 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Jan 1, 2011 Accepting new patients
Texas Health Physicians Group CurrentSince Jan 1, 2011 Accepting new patients
Physicians and Allied Health Professionals Group, PA Past Accepting new patients

Locations

1604 Hospital Pkwy
Ste 501
Bedford, TX 76022
Phone (817) 468-0945

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

7777 Forest Ln
Ste C204
Dallas, TX 75230
Phone (972) 566-5266

8160 Walnut Hill Ln
Ste 306
Dallas, TX 75231
Phone (214) 345-8060

5920 Forest Park Rd
Ste 500
Dallas, TX 75235
Phone (214) 358-9033

8140 Walnut Hill Ln
Ste 800
Dallas, TX 75231
Phone (214) 350-6672

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • Direct secure messaging: phuber@direct.uspi.com
  • Direct secure messaging: phuber116151@direct.phhs.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1245272145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C204",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306833",
            "telephone_number": "972-566-6115",
            "fax_number": "214-358-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8160 WALNUT HILL LN",
            "address_2": "STE 306",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314339",
            "telephone_number": "214-345-8060",
            "fax_number": "214-345-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBER",
        "first_name": "PHILIP",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "E3311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105004905",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105004906",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105004904",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105004903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.