Organization Active NPI

Delgado Cardiovascular Associates, P.a.

  • Specialist
  • Houston, TX
National Provider Identifier
1265411466
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DELGADO CARDIOVASCULAR ASSOCIATES, P.A.
Practice address
6624 Fannin St Ste 1910
Houston, TX 77030-2330
Phone
(713) 383-9300
Fax
(713) 383-8306
NPI assigned
Jan 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Authorized official

Name
Reynolds M DelgadoNPI 1720024466
Title
Owner
Phone
(713) 383-9300

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

6624 Fannin St Ste 1910
Houston, TX 77030-2330

Mailing address

6624 Fannin St Ste 1910
Houston, TX 77030-2330
Phone (713) 383-9300

Other identifiers 2

IdentifierTypeStateIssuer
080707501MedicaidTX
080707502MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041209000896 TX Part B Supplier - Clinic/Group Practice 9830155910 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

6720 Bertner Ave
Ste C360
Houston, TX 77030

6720 Bertner Ave
#P360
Houston, TX 77030

1200 Binz St
Ste 1290
Houston, TX 77004
Phone (713) 524-8700

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1265411466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6624 FANNIN ST STE 1910",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302330",
            "telephone_number": "713-383-9300",
            "fax_number": "713-383-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6624 FANNIN ST STE 1910",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302330",
            "telephone_number": "713-383-9300",
            "fax_number": "713-383-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELGADO CARDIOVASCULAR ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "REYNOLDS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-383-9300"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080707501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080707502",
            "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 Jan 24, 2019; 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.