Active NPI
Joe P Treadaway, M.D.
- Psychiatry Physician
- Houston, TX
National Provider Identifier
1386664266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D9690
- Practice address
- 6550 Fannin St
Suite 961
Houston, TX 77030-2717 - Phone
- (713) 795-4441
- Fax
- (713) 795-5034
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D9690 | TX | Primary |
Addresses
Primary practice location
6550 Fannin St
Suite 961
Houston, TX 77030-2717
Mailing address
6550 Fannin St
Suite 2239
Houston, TX 77030-2717
Phone (713) 795-4441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122051903 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 2, 2022 through Feb 2, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D9690 | TX | MD | Psychiatry Physician |
Interoperability endpoints
- jtreadaway35207@directhoustonmethodist.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220486400000",
"number": "1386664266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6550 FANNIN ST",
"address_2": "SUITE 2239",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302717",
"telephone_number": "713-795-4441",
"fax_number": "713-795-5034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6550 FANNIN ST",
"address_2": "SUITE 961",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302717",
"telephone_number": "713-795-4441",
"fax_number": "713-795-5034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREADAWAY",
"first_name": "JOE",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2008-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "D9690",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122051903",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}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 Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.