Individual provider Active NPI

Carlos Perez-Cosio, M.D.

  • Obstetrics & Gynecology Physician
  • Shenandoah, TX
National Provider Identifier
1396991113
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
R3179 Issued in TX
Practice address
1120 Medical Plaza Dr Ste 255
Shenandoah, TX 77380-3213
Phone
(832) 663-6367
Fax
(832) 663-6371
NPI assigned
Aug 12, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X R3179 TX Primary
Obstetrics & Gynecology Physician 207V00000X 13261 NV

Addresses

Primary practice location

1120 Medical Plaza Dr Ste 255
Shenandoah, TX 77380-3213

Mailing address

1120 Medical Plaza Dr Ste 255
Shenandoah, TX 77380-3213
Phone (832) 663-6367

Other identifiers 1

IdentifierTypeStateIssuer
R3179OtherTXTX MEDICAL LICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180706000974 TX Practitioner - Obstetrics/Gynecology 6305033325 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hermann Medical GroupGroup PAC ID 7012008360, 760 clinicians

Practice addresses (Care Compare)

1801 N Loop W
Suite 30
Houston, TX 77008-1445
Phone (713) 802-9781

9200 Pinecroft Dr
Suite 350
Shenandoah, TX 77380-3280
Phone (346) 320-5200

9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone (713) 897-2307

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13261NVMDObstetrics & Gynecology Physician
R3179TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Medical Group Obstetrics & Gynecology CurrentSince Jul 9, 2018 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Nov 10, 2018 Accepting new patients
Memorial Hermann Health System Past Accepting new patients

Locations

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

909 Frostwood Dr
Ste 1100
Houston, TX 77024
Phone (713) 338-4523

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

23900 Katy Fwy
Katy, TX 77494
Phone (281) 644-7000

9200 Pinecroft Dr
Ste 350
Shenandoah, TX 77380
Phone (281) 363-2426

Interoperability endpoints

  • Direct secure messaging: cperezcosio66531@memorialhermann.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1396991113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 MEDICAL PLAZA DR STE 255",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803213",
            "telephone_number": "832-663-6367",
            "fax_number": "832-663-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MEDICAL PLAZA DR STE 255",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803213",
            "telephone_number": "832-663-6367",
            "fax_number": "832-663-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-COSIO",
        "first_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-12",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "R3179",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "13261",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX MEDICAL LICENSE",
            "identifier": "R3179",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.