Individual provider Active NPI

Jerrie S Refuerzo, MD

  • Maternal & Fetal Medicine Physician
  • Bellaire, TX
National Provider Identifier
1477514826
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
M9605 Issued in TX
Practice address
6700 West Loop South, Suite 420
Bellaire, TX 77401
Phone
(832) 325-7133
Fax
(713) 383-1479
NPI assigned
Mar 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 4301068208 MI
Maternal & Fetal Medicine Physician 207VM0101X FTL 41764 TX
Maternal & Fetal Medicine Physician 207VM0101X M9605 TX Primary

Addresses

Primary practice location

6700 West Loop South, Suite 420
Bellaire, TX 77401

Mailing address

6700 West Loop South, Suite 420
Bellaire, TX 77401
Phone (832) 325-7133

Other identifiers 3

IdentifierTypeStateIssuer
188691301MedicaidTX
8H3609OtherTXBCBS
4839787MedicaidMI

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
I20071113000716 TX Practitioner - Obstetrics/Gynecology 3476511759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

17500 W Grand Pkwy S
Sugar Land, TX 77479-2562
Phone (281) 725-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301068208MIMDMaternal & Fetal Medicine Physician
FTL 41764TXMDMaternal & Fetal Medicine Physician
M9605TXMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Jun 11, 2007 Accepting new patients
Ut Physicians CurrentSince Jun 11, 2007 Accepting new patients
University Women'S Care, Inc Past Accepting new patients
Memorial Hermann Health System Past Accepting new patients

Locations

6700 West Loop S
Ste 420
Bellaire, TX 77401

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

6410 Fannin St
Ste 210
Houston, TX 77030
Phone (832) 325-7288

1515 Holcombe Blvd
Houston, TX 77030
Phone (713) 794-5446

10905 Memorial Hermann Dr
Pearland, TX 77584
Phone (713) 486-6000

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200

17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000

Interoperability endpoints

  • Direct secure messaging: jrefuerzo37302@direct.uth.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1477514826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 WEST LOOP SOUTH, SUITE 420",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "77401",
            "telephone_number": "832-325-7133",
            "fax_number": "713-383-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 WEST LOOP SOUTH, SUITE 420",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "77401",
            "telephone_number": "832-325-7133",
            "fax_number": "713-383-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REFUERZO",
        "first_name": "JERRIE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MI",
            "license": "4301068208",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "FTL 41764",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "M9605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188691301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8H3609",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4839787",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.