Individual provider Active NPI

Chloe Agnes Ntaimo, M.D.

  • Anesthesiology Physician
  • College Station, TX
National Provider Identifier
1245403336
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
M8879 Issued in TX
Practice address
2007 Ravenstone Loop
College Station, TX 77845-4871
Phone
(979) 690-9434
NPI assigned
Apr 9, 2008
Last updated
Feb 27, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 57295 WI
Anesthesiology Physician 207L00000X M8879 TX Primary

Addresses

Primary practice location

2007 Ravenstone Loop
College Station, TX 77845-4871

Mailing address

2007 Ravenstone Loop
College Station, TX 77845-4871
Phone (979) 690-9434

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
I20090407000593 TX Practitioner - Anesthesiology 6305757378 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57295WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
U S Anesthesia Partners of Texas, PA Anesthesiology CurrentSince Feb 7, 2016 Accepting new patients
Austin Anesthesiology Group PLLC Anesthesiology CurrentSince Oct 21, 2013 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Anesthesiology CurrentSince Feb 7, 2016 Accepting new patients
Austin Anesthesiology Group, PLLC Anesthesiology Current Accepting new patients

Locations

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

1737 Briarcrest Dr
Ste 14
Bryan, TX 77802
Phone (409) 776-4777

2411 Fountain View Dr
Ste 200
Houston, TX 77057
Phone (713) 458-4185

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

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

16655 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 274-7117

Organizations & group practices 4

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": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1245403336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 RAVENSTONE LOOP",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454871",
            "telephone_number": "979-690-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 RAVENSTONE LOOP",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454871",
            "telephone_number": "979-690-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NTAIMO",
        "first_name": "CHLOE",
        "middle_name": "AGNES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "57295",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "M8879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.