NPIMap

Organization Active NPI

Houston Cancer Institute PA

  • Specialist
  • Houston, TX
National Provider Identifier
1295764496
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
F5741 Issued in TX
Legal business name
HOUSTON CANCER INSTITUTE PA
Practice address
1220 Blalock Rd
Suite 300
Houston, TX 77055-6472
Phone
(713) 464-3343
Fax
(713) 464-2644
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Dr. Maria A. Scouros, MDNPI 1902922230
Title
Owner
Phone
(713) 464-3343

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 F5741 TX Primary

Addresses

Primary practice location

1220 Blalock Rd
Suite 300
Houston, TX 77055-6472

Mailing address

1220 Blalock Rd
Suite 300
Houston, TX 77055-6472
Phone (713) 464-3343

Other identifiers 2

IdentifierTypeStateIssuer
094028001MedicaidTX
CH9402OtherTXRAILROAD MEDICARE

Other names 1

  • Texas Chronic Care Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060112000752 TX Part B Supplier - Clinic/Group Practice 2062435340 Receives reassigned benefits from 14 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

1220 Blalock Rd
Ste 140
Houston, TX 77055
Phone (713) 722-0035

11950 Galveston Rd
Ste 100
Houston, TX 77034

11950 Galveston Rd
Ste 101B
Houston, TX 77034

11950 Old Galveston Rd
Ste 100B
Houston, TX 77034
Phone (713) 464-9559

11035 Resource Pkwy
Houston, TX 77089
Phone (281) 484-6060

1220 Blalock Rd
Ste 100
Houston, TX 77055
Phone (713) 464-3343

1220 Blalock Rd
Ste 300
Houston, TX 77055
Phone (713) 464-3343

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1295764496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 BLALOCK RD",
            "address_2": "SUITE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770556472",
            "telephone_number": "713-464-3343",
            "fax_number": "713-464-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 BLALOCK RD",
            "address_2": "SUITE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770556472",
            "telephone_number": "713-464-3343",
            "fax_number": "713-464-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON CANCER INSTITUTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "SCOUROS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-464-3343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "F5741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094028001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH9402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Chronic Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 2, 2014; 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.