Active NPI
Greater Houston Digestive Disease Consultants
- Gastroenterology Physician
- Shenandoah, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- M2544
- Legal business name
- GREATER HOUSTON DIGESTIVE DISEASE CONSULTANTS
- Practice address
- 134 Vision Park Blvd Ste 280
Shenandoah, TX 77384-3032 - Phone
- (281) 205-1111
- Fax
- (281) 419-2111
- NPI assigned
- Aug 12, 2010
- Last updated
- Jun 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Annemarie Awasum, RN
- Title
- Administrator
- Phone
- (281) 323-3162
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | |||
| Infusion Therapy Clinic/Center | 261QI0500X | |||
| Gastroenterology Physician | 207RG0100X | M2544 | TX | Primary |
Addresses
Primary practice location
134 Vision Park Blvd Ste 280
Shenandoah, TX 77384-3032
Mailing address
134 Vision Park Blvd Ste 280
Shenandoah, TX 77384-3032
Phone (281) 205-1111
Other practice location 1
9851 FM 1097 Rd. West
Bldg 120, Ste G1
Willis, TX 77318
Phone (281) 205-1111
Other practice location 2
25329 Budde Rd Ste 104
The Woodlands, TX 77380-1697
Phone (832) 713-6119
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2821480 | Medicaid | TX | |
| 2821480-02 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2340913 | Greater Houston Digestive Disease Consultants | Registration | Mar 24, 2028 |
National Provider Directory
National Provider DirectoryLocations
134 Vision Park Blvd
Ste 280
Shenandoah, TX 77384
Phone (281) 205-1111
9200 Pinecroft Dr
Ste 480
Shenandoah, TX 77380
Phone (281) 205-1111
25329 Budde Rd
Ste 104
The Woodlands, TX 77380
Phone (832) 713-6119
9851 FM 1097 Rd W
Ste G1
Willis, TX 77318
Phone (281) 205-1111
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FDFHBA
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Infuse Health Pharmacy
- Community/Retail Pharmacy
- Spring, TX
- NPI 1760306971
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Shenandoah, TX
- NPI 1164416608
-
- Gastroenterology Physician
- Shenandoah, TX
- NPI 1477931053
-
- Family Nurse Practitioner
- The Woodlands, TX
- NPI 1205302544
-
- Physician Assistant
- Dallas, TX
- NPI 1841988086
-
- Medical Physician Assistant
- Shenandoah, TX
- NPI 1437522646
-
- Family Nurse Practitioner
- Shenandoah, TX
- NPI 1013222983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281571200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719273600000",
"number": "1396050514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 VISION PARK BLVD STE 280",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773843032",
"telephone_number": "281-205-1111",
"fax_number": "281-419-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 VISION PARK BLVD STE 280",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773843032",
"telephone_number": "281-205-1111",
"fax_number": "281-419-2111"
}
],
"practiceLocations": [
{
"address_1": "9851 FM 1097 Rd. West",
"address_2": "Bldg 120, Ste G1",
"address_purpose": "LOCATION",
"city": "Willis",
"state": "TX",
"postal_code": "77318",
"country_code": "US",
"telephone_number": "281-205-1111",
"fax_number": "281-419-2111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25329 Budde Rd Ste 104",
"address_purpose": "LOCATION",
"city": "The Woodlands",
"state": "TX",
"postal_code": "773801697",
"country_code": "US",
"telephone_number": "832-713-6119",
"fax_number": "281-809-6917",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GREATER HOUSTON DIGESTIVE DISEASE CONSULTANTS",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-12",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A",
"authorized_official_last_name": "AWASUM",
"authorized_official_first_name": "ANNEMARIE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "281-323-3162",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "M2544",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2821480",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2821480-02",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.