Individual provider Active NPI

Peter Michael Fain, AU.D., M.B.A.

  • Audiologist
  • Houston, TX
National Provider Identifier
1245457431
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
51161 Issued in TX
Practice address
1509B W 18TH St
Houston, TX 77008-1533
Phone
(832) 618-1010
Fax
(832) 838-4232
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 51161 TX Primary

Addresses

Primary practice location

1509B W 18TH St
Houston, TX 77008-1533

Mailing address

1509B W 18TH St
Houston, TX 77008-1533
Phone (832) 618-1010

Other identifiers 3

IdentifierTypeStateIssuer
11317745OtherTXCAQH
036847402MedicaidTX
531239OtherTXBLUE CROSS BLUE SHIELD

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)
Enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
51161TXMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
McCrae Hearing Ventures, Inc. Audiologist Past Accepting new patients
Horizon Hearing Healthcare, Inc Past Accepting new patients
GN Hearing Care Corporation PastSince Oct 1, 2021 Accepting new patients
Audiology Care Group, Inc PastSince Dec 28, 2010 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1245457431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509B W 18TH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081533",
            "telephone_number": "832-618-1010",
            "fax_number": "832-838-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509B W 18TH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081533",
            "telephone_number": "832-618-1010",
            "fax_number": "832-838-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIN",
        "first_name": "PETER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "AU.D., M.B.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "51161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11317745",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036847402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "531239",
            "state": "TX"
        }
    ],
    "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 May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.