Individual provider Active NPI

Maria Carmen Visus, MD

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1366410318
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K4602 Issued in TX
Practice address
18100 Saint John Dr
280
Houston, TX 77058-3631
Phone
(281) 333-9747
Fax
(281) 333-3188
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K4602 TX Primary

Addresses

Primary practice location

18100 Saint John Dr
280
Houston, TX 77058-3631

Mailing address

18100 Saint John Dr Ste 280
Houston, TX 77058-4601
Phone (281) 333-9747

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
I20060328000319 TX Practitioner - Internal Medicine 9739197088 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K4602TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC Internal Medicine CurrentSince Mar 1, 2016 Accepting new patients
TMH Physician Associates PLLC CurrentSince Mar 1, 2016 Accepting new patients
Charanjeev Mann MD PA Internal Medicine PastSince Sep 1, 2006 Accepting new patients

Locations

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Interoperability endpoints

  • Direct secure messaging: mvisus15163@directhoustonmethodist.org

Organizations & group practices 3

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274918400000",
    "number": "1366410318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18100 SAINT JOHN DR STE 280",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770584601",
            "telephone_number": "281-333-9747",
            "fax_number": "281-333-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18100 SAINT JOHN DR",
            "address_2": "280",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583631",
            "telephone_number": "281-333-9747",
            "fax_number": "281-333-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISUS",
        "first_name": "MARIA",
        "middle_name": "CARMEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2010-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K4602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.