Organization Active NPI

Greater Houston Digestive Disease Consultants

  • Gastroenterology Physician
  • Shenandoah, TX
National Provider Identifier
1396050514
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
M2544 Issued in TX
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2821480MedicaidTX
2821480-02MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100902000443 TX Part B Supplier - Clinic/Group Practice 0446374060 Receives reassigned benefits from 5 practitioners
Practice locations: Willis, TX; Shenandoah, TX; Spring, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2340913Greater Houston Digestive Disease Consultants134 Vision Park Blvd Suite 280, Shenandoah, TX 77384RegistrationMar 24, 2028

National Provider Directory

National Provider Directory

Locations

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

  • FHIR API: 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.

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.

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.

Verify at the official NPI Registry.