Individual provider Active NPI

Robert W. Fayle, M.D.

  • Neurology Physician
  • Pasadena, TX
National Provider Identifier
1295782738
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
E6345 Issued in TX
Practice address
4141 Vista Rd
Pasadena, TX 77504-2113
Phone
(713) 947-3100
Fax
(713) 947-6103
NPI assigned
May 30, 2006
Last updated
Jul 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X E6345 TX Primary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X E6345 TX

Addresses

Primary practice location

4141 Vista Rd
Pasadena, TX 77504-2113

Mailing address

6400 Fannin St Ste 2800
Houston, TX 77030-1534
Phone (713) 704-7100

Other identifiers 5

IdentifierTypeStateIssuer
302679101OtherTXMISCHER MDCD GRP TPI BRAZORIA CO
0035TDOtherTXMISCHER BCBSTX GRP PROV REC
00X185OtherTXMISCHER MDCR PTAN BRAZORIA CO
00106WOtherTXMISCHER MDCR GRP PTAN HARRIS CO
153449704OtherTXMISCHER MDCD GRP TPI HARRIS CO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081204000388 TX Practitioner - Neurology 6709947161 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Texas Medical School at Houston, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 Binz St
Suite 1270
Houston, TX 77004-6937
Phone (713) 520-5155

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E6345TXMDSleep Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Neighborhood Health Centers, PLLC Neurology Current Accepting new patients
MHS Physicians of Texas CurrentSince Aug 1, 2013 Accepting new patients
MHS Physicians of Texas Neurology CurrentSince Aug 1, 2013 Accepting new patients
Privia Medical Group Gulf Coast PLLC CurrentSince Jul 21, 2024 Accepting new patients
Privia Medical Group Gulf Coast, PLLC Neurology CurrentSince Jul 21, 2024 Accepting new patients
Diagnostic Clinic of Houston Past Accepting new patients
Robert W. Fayle, M.D., P.a. Neurology Past Accepting new patients
Diagnostic Clinic of Houston Lab Past Accepting new patients

Locations

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

1200 Binz St
Ste 1490
Houston, TX 77004
Phone (713) 512-7027

6400 Fannin St
Ste 2800
Houston, TX 77030
Phone (713) 704-7100

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

18955 N Memorial Dr
Ste 360
Humble, TX 77338
Phone (281) 319-8530

4141 Vista Rd
Pasadena, TX 77504
Phone (713) 947-3100

10905 Memorial Hermann Dr
Ste 111
Pearland, TX 77584
Phone (281) 929-4727

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Interoperability endpoints

  • Direct secure messaging: robert.fayle.1@8042.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1295782738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST STE 2800",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301534",
            "telephone_number": "713-704-7100",
            "fax_number": "713-704-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 VISTA RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042113",
            "telephone_number": "713-947-3100",
            "fax_number": "713-947-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAYLE",
        "first_name": "ROBERT",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "E6345",
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "TX",
            "license": "E6345",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISCHER MDCD GRP TPI BRAZORIA CO",
            "identifier": "302679101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISCHER BCBSTX GRP PROV REC",
            "identifier": "0035TD",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISCHER MDCR PTAN BRAZORIA CO",
            "identifier": "00X185",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISCHER MDCR GRP PTAN HARRIS CO",
            "identifier": "00106W",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISCHER MDCD GRP TPI HARRIS CO",
            "identifier": "153449704",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.