Individual provider Active NPI

Keith Alan Bourgeois, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Houston, TX
National Provider Identifier
1457312183
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
G7625 Issued in TX
Practice address
1315 St Joseph Pkwy
Suite 1601
Houston, TX 77002-8233
Phone
(713) 650-0391
Fax
(713) 650-0395
NPI assigned
Mar 31, 2006
Last updated
Jul 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G7625 TX
Retina Specialist (Ophthalmology) Physician 207WX0107X G7625 TX Primary

Addresses

Primary practice location

1315 St Joseph Pkwy
Suite 1601
Houston, TX 77002-8233

Mailing address

1315 St Joseph Pkwy
Suite 1601
Houston, TX 77002-8233
Phone (713) 650-0391

Other practice location 1

5656 Kelley St
Houston, TX 77026-1967
Phone (713) 566-5100

Other identifiers 2

IdentifierTypeStateIssuer
P085170J07MedicaidTX
1457312183MedicaidTX

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
I20100830001006 TX Practitioner - Ophthalmology 9133223753 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Louisiana State University School of Medicine in New Orleans, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Eye AssociatesGroup PAC ID 4688622681, 8 clinicians
Keith a. Bourgeois, M.D., P.a.Group PAC ID 0345403507, 2 clinicians
Ut PhysiciansGroup PAC ID 2961732193, 206 clinicians

Practice addresses (Care Compare)

100 Sweetbriar Dr
Columbus, TX 78934-3008
Phone (979) 732-5711

1315 St Joseph Pkwy
Suite 1601
Houston, TX 77002-8232
Phone (713) 650-0391

5656 Kelley St
Houston, TX 77026-1967
Phone (713) 566-5100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
89.93 of 100Reported as group
Quality
95.48
Improvement activities
40
Cost
72.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Keith a. Bourgeois, M.D., P.a. Ophthalmology CurrentSince Sep 25, 1997 Accepting new patients
Ut Physicians CurrentSince Jan 16, 2026 Accepting new patients
Columbus Eye Associates Ophthalmology CurrentSince Feb 24, 1985 Accepting new patients
Fernando a Romero MD PA Ophthalmology PastSince Jan 1, 2000 Accepting new patients
Sadler Clinic Association Past Accepting new patients

Locations

100 Sweetbriar Dr
Columbus, TX 78934
Phone (979) 732-5711

11920 Astoria Blvd
Ste 292
Houston, TX 77089
Phone (713) 486-7970

1315 St Joseph Pkwy
Ste 1601
Houston, TX 77002
Phone (713) 650-0391

5656 Kelley St
Houston, TX 77026
Phone (713) 566-5000

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1457312183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY",
            "address_2": "SUITE 1601",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028233",
            "telephone_number": "713-650-0391",
            "fax_number": "713-650-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY",
            "address_2": "SUITE 1601",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028233",
            "telephone_number": "713-650-0391",
            "fax_number": "713-650-0395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5656 Kelley St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770261967",
            "country_code": "US",
            "telephone_number": "713-566-5100",
            "fax_number": "713-599-8244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOURGEOIS",
        "first_name": "KEITH",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "G7625",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": "G7625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P085170J07",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457312183",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.