NPIMap

Organization Active NPI

Sean Boutros MD PLLC

  • Plastic Surgery Physician
  • Houston, TX
National Provider Identifier
1255416855
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
SEAN BOUTROS MD PLLC
Practice address
9230 Katy Fwy Ste 600
Houston, TX 77055-7468
Phone
(713) 791-0700
Fax
(713) 791-0703
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Dr. Sean Boutros, M.D.NPI 1154319598
Title
Director
Phone
(713) 791-0700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

9230 Katy Fwy Ste 600
Houston, TX 77055-7468

Mailing address

9230 Katy Fwy Ste 600
Houston, TX 77055-7468
Phone (713) 791-0700

Other practice location 1

18354 I-45
Ste 300
Shenandoah, TX 77384
Phone (713) 791-0700

Other names 1

  • My Houston Surgeons Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051026000359 TX Part B Supplier - Clinic/Group Practice 2769409036 Receives reassigned benefits from 9 practitioners
Practice locations: Houston, TX; Shenandoah, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1255416855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9230 KATY FWY STE 600",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770557468",
            "telephone_number": "713-791-0700",
            "fax_number": "713-791-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9230 KATY FWY STE 600",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770557468",
            "telephone_number": "713-791-0700",
            "fax_number": "713-791-0703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18354 I-45",
            "address_2": "STE 300",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "77384",
            "country_code": "US",
            "telephone_number": "713-791-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SEAN BOUTROS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "BOUTROS",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-791-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Houston Surgeons",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My Houston Surgeons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.