Organization Active NPI

Spring Medical Center PLLC

  • Internal Medicine Physician
  • Spring, TX
National Provider Identifier
1487389375
Registry record updated Jul 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SPRING MEDICAL CENTER PLLC
Practice address
1416 Spring Cypress Rd
Spring, TX 77373-2507
Phone
(281) 719-5215
NPI assigned
Jul 23, 2022
Last updated
Jul 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2022

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

Authorized official

Name
Leonel Casanova Rodriguez, MDNPI 1144717570
Title
Supervising Dr
Phone
(281) 719-5215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1416 Spring Cypress Rd
Spring, TX 77373-2507

Mailing address

1416 Spring Cypress Rd
Spring, TX 77373-2507
Phone (281) 719-5215

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220916001125 TX Part B Supplier - Clinic/Group Practice 4183009806 Receives reassigned benefits from 1 practitioner
Practice locations: Spring, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2273765Spring Medical Center, PLLC1416 Spring Cypress Rd, Spring, TX 77373Certificate of waiverSep 8, 2027

National Provider Directory

National Provider Directory

Locations

1416 Spring Cypress Rd
Spring, TX 77373
Phone (281) 719-5215

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1658534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658534400000",
    "number": "1487389375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 SPRING CYPRESS RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773732507",
            "telephone_number": "281-719-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 SPRING CYPRESS RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773732507",
            "telephone_number": "281-719-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-23",
        "last_updated": "2022-07-23",
        "certification_date": "2022-07-23",
        "status": "A",
        "authorized_official_last_name": "CASANOVA RODRIGUEZ",
        "authorized_official_first_name": "LEONEL",
        "authorized_official_title_or_position": "SUPERVISING DR",
        "authorized_official_telephone_number": "281-719-5215",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.