Organization Active NPI

Caroline Njeri Mbogua MD

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1386878387
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J0775 Issued in TX
Legal business name
CAROLINE NJERI MBOGUA MD
Practice address
1213 Hermann Dr
445 Park Plaza Professional BLDG
Houston, TX 77004-7018
Phone
(713) 741-2299
Fax
(713) 747-3583
NPI assigned
May 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2009

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

Authorized official

Name
Dr. Caroline Njeri Mbogua, M.D.NPI 1942221148
Title
Owner
Phone
(713) 741-2299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X J0775 TX Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X J0775 TX

Addresses

Primary practice location

1213 Hermann Dr
445 Park Plaza Professional BLDG
Houston, TX 77004-7018

Mailing address

1213 Hermann Dr
445 Park Plaza Professional BLDG
Houston, TX 77004-7018
Phone (713) 741-2299

Other identifiers 2

IdentifierTypeStateIssuer
2189244OtherTXAETNA
136461406MedicaidTX

National Provider Directory

National Provider Directory

Locations

1213 Hermann Dr
Ste 445
Houston, TX 77004
Phone (713) 741-2299

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1386878387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR",
            "address_2": "445 PARK PLAZA PROFESSIONAL BLDG",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047018",
            "telephone_number": "713-741-2299",
            "fax_number": "713-747-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR",
            "address_2": "445 PARK PLAZA PROFESSIONAL BLDG",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047018",
            "telephone_number": "713-741-2299",
            "fax_number": "713-747-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINE NJERI MBOGUA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "MBOGUA",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "NJERI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-741-2299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J0775",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J0775",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2189244",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136461406",
            "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 May 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.