NPIMap

Individual provider Active NPI

John Anthony Primomo, M.D.

  • Surgery Physician
  • Houston, TX
National Provider Identifier
1437264728
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
N3252 Issued in TX
Practice address
10125 Katy Fwy Ste 106
Houston, TX 77024-1287
Phone
(713) 464-6000
Fax
(713) 464-6002
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X N3252 TX Primary

Addresses

Primary practice location

10125 Katy Fwy Ste 106
Houston, TX 77024-1287

Mailing address

10125 Katy Fwy Ste 106
Houston, TX 77024-1287
Phone (713) 464-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090914000376 TX Practitioner - General Surgery 0749336998 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Medical School at San Antonio, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial Hermann PhysiciansGroup PAC ID 8426387846, 5 clinicians

Practice addresses (Care Compare)

10125 Katy Fwy
Suite 106
Houston, TX 77024-1287
Phone (713) 464-6000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux49

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Jul 1, 2014 Accepting new patients
Memorial Hermann Physicians CurrentSince Jul 1, 2019 Accepting new patients
Ut Physicians Surgery CurrentSince Jul 1, 2014 Accepting new patients
Baylor College of Medicine Surgery Past Accepting new patients

Locations

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

10125 Katy Fwy
Ste 106
Houston, TX 77024
Phone (713) 464-6000

Interoperability endpoints

  • Direct secure messaging: jprimomo66576@memorialhermann.direct-ci.com

Organizations & group practices 4

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 9

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1437264728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10125 KATY FWY STE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241287",
            "telephone_number": "713-464-6000",
            "fax_number": "713-464-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10125 KATY FWY STE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241287",
            "telephone_number": "713-464-6000",
            "fax_number": "713-464-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIMOMO",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "N3252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.