Organization Active NPI

Kingwood Neurology and Sleep PA

  • Neurology Physician
  • Kingwood, TX
National Provider Identifier
1457541237
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
KINGWOOD NEUROLOGY AND SLEEP PA
Practice address
320 Kingwood Executive Dr
Ste E
Kingwood, TX 77339
Phone
(281) 359-5981
Fax
(281) 359-3591
NPI assigned
Jul 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Authorized official

Name
Dr. Wendell Grogan, M.D.
Title
President
Phone
(281) 359-5981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

320 Kingwood Executive Dr
Ste E
Kingwood, TX 77339

Mailing address

PO Box 9547
Belfast, ME 04915-9547
Phone (281) 359-5981

Other identifiers 1

IdentifierTypeStateIssuer
172034401MedicaidTX

Other names 1

  • Kingwood Neurology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050329000295 TX Part B Supplier - Clinic/Group Practice 9436105863 Receives reassigned benefits from 2 practitioners
Practice locations: Kingwood, TX

National Provider Directory

National Provider Directory

Locations

22999 Highway 59 N
#B
Kingwood, TX 77339
Phone 2813595981223

22999 Highway 59 N
Ste 416
Kingwood, TX 77339
Phone (281) 359-5981

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2618/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1457541237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9547",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049159547",
            "telephone_number": "281-359-5981",
            "fax_number": "281-359-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 KINGWOOD EXECUTIVE DR",
            "address_2": "STE E",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77339",
            "telephone_number": "281-359-5981",
            "fax_number": "281-359-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGWOOD NEUROLOGY AND SLEEP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "GROGAN",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-359-5981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172034401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingwood Neurology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kingwood Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.