NPIMap

Individual provider Active NPI

Theodore Joseph Trumble II, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Houston, TX
National Provider Identifier
1265492607
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
J1150 Issued in TX
Practice address
2626 S Loop W Ste 265
Houston, TX 77054-5636
Phone
(281) 734-9268
NPI assigned
Mar 27, 2006
Last updated
Mar 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X J1150 TX Primary

Addresses

Primary practice location

2626 S Loop W Ste 265
Houston, TX 77054-5636

Mailing address

PO Box 3345
Houston, TX 77253-3345
Phone (281) 734-9268

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
I20070112000268 TX Practitioner - Geriatric MedicinePractitioner - Internal Medicine 9537169644 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
University of Texas Medical School at Houston, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trumen Physician and Associates Post Acute PLLCGroup PAC ID 5496236788, 127 clinicians
Trumen Physicians and Associates PLLCGroup PAC ID 7618006883, 133 clinicians

Practice addresses (Care Compare)

2626 S Loop W
Suite 265
Houston, TX 77054-5636
Phone (713) 796-9955

6510 Lawndale St
Houston, TX 77023-3913
Phone (832) 594-7849

7887 Cambridge St
Houston, TX 77054-2013
Phone (713) 796-2777

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J1150TXMDGeriatric Medicine (Internal Medicine) Physician
51150TXMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Trumen Physicians and Associates PLLC Geriatric Medicine CurrentSince Apr 1, 2010 Accepting new patients
Theodore Joseph Trumble II MD PA Geriatric Medicine CurrentSince Jul 1, 2006 Accepting new patients
Geriatric Associates of America, P.a. Geriatric Medicine PastSince Feb 28, 2005 Accepting new patients
Baylor College of Medicine Past Accepting new patients
Geriatric Associates of America-Texas, PLLC Past Accepting new patients
Tol Healthcare, LLC Geriatric Medicine PastSince Mar 1, 2020 Accepting new patients

Locations

2626 S Loop W
Ste 265
Houston, TX 77054
Phone (713) 796-9955

7887 Cambridge St
Houston, TX 77054
Phone (713) 796-2777

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Houston Methodist HospitalHouston, TX, CCN 675370 Skilled nursing facility Adp of the SNF Jan 1, 2021
Vantage HospiceHouston, TX, CCN 671680 Hospice Contracted Managing Employee Oct 1, 2011

Owned or controlled facilities with NPI records 2

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 2

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1265492607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3345",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772533345",
            "telephone_number": "281-734-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 S LOOP W STE 265",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770545636",
            "telephone_number": "281-734-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUMBLE",
        "first_name": "THEODORE",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "J1150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.