Active NPI
David Glenn Nelson, M.D.
- Family Medicine Physician
- Houston, TX
National Provider Identifier
1396752259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H6465
- Practice address
- 9511 Huffmeister Road
100
Houston, TX 77095-2865 - Phone
- (713) 461-2915
- Fax
- (713) 461-5307
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | H6465 | TX | |
| Family Medicine Physician | 207Q00000X | H6465 | TX | Primary |
Addresses
Primary practice location
9511 Huffmeister Road
100
Houston, TX 77095-2865
Mailing address
9055 Katy Fwy Ste 200
Houston, TX 77024-1629
Phone (713) 461-2915
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MDH6465 | Other | TX | WORKER'S COMP |
| 134538106 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Texas Tech University Health Science Center School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9055 Katy Fwy
Suite 200
Houston, TX 77024-1629
Phone (346) 646-4954
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H6465 | TX | MD | Legal Medicine |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Villagemd of Southeast Texas, PA | Family Medicine | Current | Accepting new patients |
Locations
9055 Katy Fwy
Ste 200
Houston, TX 77024
Phone (346) 980-2701
9511 Huffmeister Rd
Ste 100
Houston, TX 77095
Phone (281) 550-4635
9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954
15200 Southwest Fwy
Ste 290
Sugar Land, TX 77478
Phone (281) 980-2010
Interoperability endpoints
- david.nelson.1@13711.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Houston, TX
- NPI 1841643327
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kingwood, TX
- NPI 1811942238
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Houston, TX
- NPI 1437189115
Hospital
-
- General Acute Care Hospital
- Houston, TX
- NPI 1740233782
-
- General Acute Care Hospital
- Houston, TX
- NPI 1982666111
-
- General Acute Care Hospital
- Cypress, TX
- NPI 1629828405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525132800000",
"number": "1396752259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9055 KATY FWY STE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770241629",
"telephone_number": "713-461-2915",
"fax_number": "713-461-5307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9511 HUFFMEISTER ROAD",
"address_2": "100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770952865",
"telephone_number": "713-461-2915",
"fax_number": "713-461-5307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "DAVID",
"middle_name": "GLENN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2018-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "TX",
"license": "H6465",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "H6465",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKER'S COMP",
"identifier": "MDH6465",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134538106",
"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 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.