Individual provider Active NPI

Damian Victorio Chaupin, MD

  • Vascular Surgery Physician
  • Houston, TX
National Provider Identifier
1366466914
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
F4788 Issued in TX
Practice address
800 Peakwood Drive
Suite 5G
Houston, TX 77090
Phone
(281) 537-5806
Fax
(281) 537-0711
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X F4788 TX Primary

Addresses

Primary practice location

800 Peakwood Drive
Suite 5G
Houston, TX 77090

Mailing address

800 Peakwood Drive
Suite 5G
Houston, TX 77090
Phone (281) 537-5806

Other identifiers 2

IdentifierTypeStateIssuer
035207201MedicaidTX
00NN83OtherTXBCBS

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
I20060921000376 TX Practitioner - General SurgeryPractitioner - Thoracic SurgeryPractitioner - Vascular Surgery 4284674508 Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Thoracic Surgery, Vascular Surgery
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

800 Peakwood Dr
5G
Houston, TX 77090-2903
Phone (281) 537-5806

Hospital & facility affiliations

  • Cornerstone Hospital Conroe Long-term care hospital, Conroe, TX, CCN 452107

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F4788TXMDVascular Surgery Physician

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1366466914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PEAKWOOD DRIVE",
            "address_2": "SUITE 5G",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77090",
            "telephone_number": "281-537-5806",
            "fax_number": "281-537-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PEAKWOOD DRIVE",
            "address_2": "SUITE 5G",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77090",
            "telephone_number": "281-537-5806",
            "fax_number": "281-537-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUPIN",
        "first_name": "DAMIAN",
        "middle_name": "VICTORIO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "F4788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035207201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00NN83",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.