NPIMap

Individual provider Active NPI

Marializa V Bernardo, M.D., P.A.

  • Nephrology Physician
  • Houston, TX
National Provider Identifier
1477551968
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
J5698 Issued in TX
Practice address
7777 Southwest Fwy Ste 304
Houston, TX 77074-1813
Phone
(713) 270-4545
Fax
(713) 270-9197
NPI assigned
Jul 8, 2005
Reactivated
Mar 29, 2006
Last updated
Mar 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X J5698 TX Primary

Addresses

Primary practice location

7777 Southwest Fwy Ste 304
Houston, TX 77074-1813

Mailing address

7777 Southwest Fwy Ste 304
Houston, TX 77074-1813
Phone (713) 270-4545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090506000192 TX Practitioner - Nephrology 0345159612 Reassigns benefits to 1 organization
Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Nephrology Associates, LLPGroup PAC ID 3274674551, 7 clinicians

Practice addresses (Care Compare)

7777 Southwest Fwy
Suite 304
Houston, TX 77074-1813
Phone (713) 270-4545

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.2 of 100Reported as group
Quality
96.56
Promoting interoperability
100
Improvement activities
40
Cost
78.31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Nephrology Associates, LLP Nephrology CurrentSince Feb 4, 1994 Accepting new patients
Southwest Nephrology Associates, LLP Past Accepting new patients

Locations

12121 Richmond Ave
Ste 212
Houston, TX 77082
Phone (281) 759-2273

7777 Southwest Fwy
Ste 304
Houston, TX 77074
Phone (713) 270-4545

Interoperability endpoints

  • Direct secure messaging: marializa.bernardo.1@19285.direct.athenahealth.com
  • Direct secure messaging: mbernardo79091@directhoustonmethodist.org

Organizations & group practices 2

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 11

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1477551968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 SOUTHWEST FWY STE 304",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741813",
            "telephone_number": "713-270-4545",
            "fax_number": "713-270-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 SOUTHWEST FWY STE 304",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741813",
            "telephone_number": "713-270-4545",
            "fax_number": "713-270-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDO",
        "first_name": "MARIALIZA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D., P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2019-03-14",
        "deactivation_date": "2006-03-15",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "J5698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.