Individual provider Active NPI

Corey Chartan

  • Pediatric Critical Care Medicine Physician
  • Houston, TX
National Provider Identifier
1306118013
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
P6151 Issued in TX
Practice address
One Baylor Plaza, Mail Stop W6-006
Pediatric Critical Care
Houston, TX 77070
Phone
(713) 798-4780
Fax
(713) 790-1345
NPI assigned
Jan 27, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X P6151 TX Primary

Addresses

Primary practice location

One Baylor Plaza, Mail Stop W6-006
Pediatric Critical Care
Houston, TX 77070

Mailing address

One Baylor Plaza, Mail Stop W6-006
Pediatric Critical Care
Houston, TX 77070
Phone (713) 798-4780

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
I20150216000950 TX Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 2769707769 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dell Children'S Medical Group CurrentSince Sep 24, 2024 Accepting new patients
Dell Children'S Medical Group CurrentSince Sep 24, 2024 Accepting new patients

Locations

4910 Mueller Blvd
Ste 100
Austin, TX 78723
Phone (206) 543-3093

1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800

Interoperability endpoints

  • Direct secure messaging: corey.chartan.1@8363.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": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1306118013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE BAYLOR PLAZA, MAIL STOP W6-006",
            "address_2": "PEDIATRIC CRITICAL CARE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77070",
            "telephone_number": "713-798-4780",
            "fax_number": "713-790-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE BAYLOR PLAZA, MAIL STOP W6-006",
            "address_2": "PEDIATRIC CRITICAL CARE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77070",
            "telephone_number": "713-798-4780",
            "fax_number": "713-790-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARTAN",
        "first_name": "COREY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-27",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "TX",
            "license": "P6151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.