Individual provider Active NPI

Alexander Trujillo, MD

  • Interventional Cardiology Physician
  • Tomball, TX
National Provider Identifier
1255595609
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
Q3117 Issued in TX
Practice address
400 Holderrieth Blvd
Ste 104
Tomball, TX 77375
Phone
(281) 255-2000
Fax
(281) 378-5918
NPI assigned
Jul 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Q3117 TX
Interventional Cardiology Physician 207RI0011X Q3117 TX Primary

Addresses

Primary practice location

400 Holderrieth Blvd
Ste 104
Tomball, TX 77375

Mailing address

400 Holderrieth Blvd
Ste 104
Tomball, TX 77375-4552
Phone (281) 255-2000

Other identifiers 1

IdentifierTypeStateIssuer
Q3117OtherTXLICENSE NO

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
I20151211002010 TX Practitioner - Cardiovascular Disease (Cardiology) 1658672845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinic for Cardiovascular CareGroup PAC ID 2961468897, 3 clinicians

Practice addresses (Care Compare)

400 Holderrieth Blvd
Suite 104
Tomball, TX 77375-1612
Phone (281) 255-2000

Hospital & facility affiliations

  • HCA Houston Healthcare Tomball Hospital, Tomball, TX, CCN 450670

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
96.92
Improvement activities
40
Cost
62.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting31
Varicose vein removal28
Leg revascularization (restoring blood flow)15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q3117TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic for Cardiovascular Care Cardiovascular Disease CurrentSince Sep 19, 2015 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Clinic for Cardiovascular Care Cardiovascular Disease Past Accepting new patients

Locations

425 Holderrieth Blvd
Ste 212
Tomball, TX 77375
Phone (281) 766-8800

400 Holderrieth Blvd
Ste 104
Tomball, TX 77375
Phone (281) 255-2000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIADAA/Endpoint/HIADAA

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1255595609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HOLDERRIETH BLVD",
            "address_2": "STE 104",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754552",
            "telephone_number": "281-255-2000",
            "fax_number": "281-378-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HOLDERRIETH BLVD",
            "address_2": "STE 104",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "77375",
            "telephone_number": "281-255-2000",
            "fax_number": "281-378-5918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-15",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "Q3117",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "Q3117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO",
            "identifier": "Q3117",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.