Individual provider Active NPI

Max Schimelpfenig, MD

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1467072124
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T4050 Issued in TX
Practice address
1801 North Loop W Ste 10
Houston, TX 77008-1445
Phone
(713) 862-4963
NPI assigned
Apr 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X T4050 TX Primary

Addresses

Primary practice location

1801 North Loop W Ste 10
Houston, TX 77008-1445

Mailing address

1801 North Loop W Ste 10
Houston, TX 77008-1445
Phone (713) 862-4963

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240509001891 TX Practitioner - Family Practice 4688097850 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T4050TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Health PA Family Medicine CurrentSince Feb 7, 2024 Accepting new patients

Locations

1801 North Loop W
Ste 10
Houston, TX 77008
Phone (713) 862-4963

Interoperability endpoints

  • Direct secure messaging: max.schimelpfenig@gijo.eclinicaldirectplus.com

Organizations & group practices 1

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": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1467072124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 NORTH LOOP W STE 10",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081445",
            "telephone_number": "713-862-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NORTH LOOP W STE 10",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081445",
            "telephone_number": "713-862-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIMELPFENIG",
        "first_name": "MAX",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-23",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T4050",
            "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 Jul 12, 2023; 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.