Individual provider Active NPI

Aaron Pongvachararak

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1285270785
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142310 Issued in TX
Practice address
411 N Sam Houston Pkwy E Ste 280
Houston, TX 77060-3555
Phone
(346) 888-5237
NPI assigned
Nov 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP142310 TX Primary

Addresses

Primary practice location

411 N Sam Houston Pkwy E Ste 280
Houston, TX 77060-3555

Mailing address

411 N Sam Houston Pkwy E Ste 280
Houston, TX 77060-3555
Phone (346) 888-5237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.75 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP142310TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gasdoc CurrentSince Nov 15, 2020 Accepting new patients
Texas Intergrative Pain Institute Inc. CurrentSince Feb 16, 2020 Accepting new patients

Locations

411 N Sam Houston Pkwy E
Ste 280
Houston, TX 77060
Phone (346) 888-5237

Interoperability endpoints

  • Direct secure messaging: aaron.pongvachararak.1@30520.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1285270785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 N SAM HOUSTON PKWY E STE 280",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603555",
            "telephone_number": "346-888-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N SAM HOUSTON PKWY E STE 280",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603555",
            "telephone_number": "346-888-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONGVACHARARAK",
        "first_name": "AARON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142310",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.