Active NPI
Alexander Trujillo, MD
- Interventional Cardiology Physician
- Tomball, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- Q3117
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q3117 | Other | TX | LICENSE 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
Enrollment records 1
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
Practice addresses (Care Compare)
400 Holderrieth Blvd
Suite 104
Tomball, TX 77375-1612
Phone (281) 255-2000
Hospital & facility affiliations
- HCA Houston Healthcare Tomball
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.06 of 100
- Quality
- 96.92
- Improvement activities
- 40
- Cost
- 62.32
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 31 |
| Varicose vein removal | 28 |
| Leg revascularization (restoring blood flow) | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q3117 | TX | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinic for Cardiovascular Care | Cardiovascular Disease | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Tomball, TX
- NPI 1386632115
-
- Specialist
- Houston, TX
- NPI 1437242617
-
- Cardiovascular Disease Physician
- Tomball, TX
- NPI 1457462194
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tomball, TX
- NPI 1750819025
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.