NPIMap

Individual provider Active NPI

Brenda L Wainscott, M.D.

  • Internal Medicine Physician
  • Katy, TX
National Provider Identifier
1255337754
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K6975 Issued in TX
Practice address
21700 Kingsland Blvd
Ste 201
Katy, TX 77450-2513
Phone
(281) 398-7954
Fax
(281) 578-7425
NPI assigned
Jun 21, 2005
Last updated
Feb 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K6975 TX Primary

Addresses

Primary practice location

21700 Kingsland Blvd
Ste 201
Katy, TX 77450-2513

Mailing address

21700 Kingsland Blvd
Ste 201
Katy, TX 77450-2513
Phone (281) 398-7954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100625000322 TX Practitioner - Internal Medicine 5294738977 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at Houston, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Colleagues of Texas LLPGroup PAC ID 5597700203, 12 clinicians
Collaborative Geriatrics IncGroup PAC ID 5193827046, 45 clinicians

Practice addresses (Care Compare)

21700 Kingsland Blvd
Suite 201
Katy, TX 77450-2547
Phone (281) 398-7954

24285 Katy Fwy
Suite 300
Katy, TX 77494-1327
Phone (346) 387-7171

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Geriatrics Inc CurrentSince Mar 9, 2023 Accepting new patients
William a Currie MD PA Current Accepting new patients
Dewitt Medical District Past Accepting new patients
Oakbend Medical Center Past Accepting new patients
Oakbend Medical Center Past Accepting new patients
Katy Rehabilitation Partners LP PastSince Jul 16, 2004 Accepting new patients

Locations

21700 Kingsland Blvd
Ste 201
Katy, TX 77450
Phone (281) 398-7954

24285 Katy Fwy
Ste 300
Katy, TX 77494
Phone (346) 387-7171

1405 Valhalla Dr
Wharton, TX 77488
Phone (713) 723-9068

Interoperability endpoints

  • Direct secure messaging: brenda.wainscott@mctkaty.directbygreenway.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Vantage HospiceHouston, TX, CCN 671680 Hospice 5% Or Greater Indirect Ownership Interest (9.94%) Dec 31, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1255337754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21700 KINGSLAND BLVD",
            "address_2": "STE 201",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502513",
            "telephone_number": "281-398-7954",
            "fax_number": "281-578-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21700 KINGSLAND BLVD",
            "address_2": "STE 201",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502513",
            "telephone_number": "281-398-7954",
            "fax_number": "281-578-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAINSCOTT",
        "first_name": "BRENDA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K6975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.