NPIMap

Individual provider Active NPI

Mario E. Bertoni, M.D.

  • General Practice Physician
  • Houston, TX
National Provider Identifier
1447264437
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
E5682 Issued in TX
Practice address
6550 Mapleridge St Ste 216
Houston, TX 77081-4648
Phone
(832) 830-8997
Fax
(281) 888-3918
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X E5682 TX
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X E5682 TX Primary

Addresses

Primary practice location

6550 Mapleridge St Ste 216
Houston, TX 77081-4648

Mailing address

6550 Mapleridge St Ste 216
Houston, TX 77081-4648
Phone (832) 830-8997

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sugarcreek Care Services Inc Multi-Specialty Past Accepting new patients
Rice Nuclear Diagnostics, L.P. Multi-Specialty Past Accepting new patients
Sonographics Inc PastSince May 14, 2003 Accepting new patients
Promoting and Marketing Consulting Group Inc Multi-Specialty Past Accepting new patients
Medic Healthcare Inc Multi-Specialty Past Accepting new patients
Lumar Imaging Inc. Multi-Specialty Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1447264437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 MAPLERIDGE ST STE 216",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770814648",
            "telephone_number": "832-830-8997",
            "fax_number": "281-888-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 MAPLERIDGE ST STE 216",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770814648",
            "telephone_number": "832-830-8997",
            "fax_number": "281-888-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTONI",
        "first_name": "MARIO",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "E5682",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "E5682",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 25, 2010; 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.