Individual provider Active NPI

Heinz J Hermann, MD

  • Cardiovascular Disease Physician
  • Pasadena, TX
National Provider Identifier
1396739272
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
E2611 Issued in TX
Practice address
3801 Vista Rd
Ste 420
Pasadena, TX 77504-2159
Phone
(713) 941-7202
Fax
(713) 941-1703
NPI assigned
Sep 7, 2005
Last updated
Oct 23, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X E2611 TX Primary

Addresses

Primary practice location

3801 Vista Rd
Ste 420
Pasadena, TX 77504-2159

Mailing address

3801 Vista Rd
Ste 420
Pasadena, TX 77504-2159
Phone (713) 941-7202

Other identifiers 2

IdentifierTypeStateIssuer
100140602MedicaidTX
1386953537OtherTXGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E2611TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Diagnostics, Inc. PastSince Dec 16, 2010 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1396739272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 VISTA RD",
            "address_2": "STE 420",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042159",
            "telephone_number": "713-941-7202",
            "fax_number": "713-941-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 VISTA RD",
            "address_2": "STE 420",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042159",
            "telephone_number": "713-941-7202",
            "fax_number": "713-941-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMANN",
        "first_name": "HEINZ",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "E2611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100140602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1386953537",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.