Individual provider Active NPI

Willie Earl Robinson III, M.D.

  • Interventional Cardiology Physician
  • Kingwood, TX
National Provider Identifier
1487948436
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
U8810 Issued in TX
Practice address
2627 Chestnut Ridge Dr Ste 100
Kingwood, TX 77339-1777
Phone
(281) 358-1950
NPI assigned
Jun 7, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 309563 LA
Student in an Organized Health Care Education/Training Program 390200000X
Interventional Cardiology Physician 207RI0011X U8810 TX Primary

Addresses

Primary practice location

2627 Chestnut Ridge Dr Ste 100
Kingwood, TX 77339-1777

Mailing address

2627 Chestnut Ridge Dr Ste 100
Kingwood, TX 77339-1777
Phone (281) 358-1950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, LA, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170522001417 FL Practitioner - Internal Medicine 4880829373 Reassigns benefits to 1 organization
I20180830001610 LA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 4880829373 Reassigns benefits to 1 organization
I20240212003866 TX Practitioner - Interventional Cardiology 4880829373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Wayne State University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lieber-Moore Cardiology Associates PAGroup PAC ID 8022904770, 16 clinicians

Practice addresses (Care Compare)

19502 McKay Dr
Suite 203
Humble, TX 77338-5720
Phone (281) 358-1950

22999 Hwy 59 N
Kingwood, TX 77339-4412
Phone (281) 358-1950

2627 Chestnut Ridge Dr
Suite 100
Kingwood, TX 77339-1777
Phone (281) 358-1950

710 Cypress Creek Pkwy
Houston, TX 77090-3402
Phone (281) 358-1950

800 Peakwood Dr
Suite 6C
Houston, TX 77090-2903
Phone (281) 440-7373

Hospital & facility affiliations

  • HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775
  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684
  • HCA Houston Healthcare Northwest Hospital, Houston, TX, CCN 450638
  • CHI St Lukes Health Memorial Livingston Hospital, Livingston, TX, CCN 450395

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Varicose vein removal20
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U8810TXMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jul 23, 2018 Accepting new patients
KND Development 59 LLC Current Accepting new patients
KND Development 59, LLC CurrentSince Jan 23, 2017 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Jul 23, 2018 Accepting new patients
Lieber-Moore Cardiology Associates PA CurrentSince Jan 19, 2024 Accepting new patients
KND Development 59 LLC CurrentSince Jan 23, 2017 Accepting new patients

Locations

3030 6th St S
St Petersburg, FL 33705
Phone (727) 894-8719

4555 S Manhattan Ave
Tampa, FL 33611
Phone (813) 540-0093

1514 Jefferson Hwy
New Orleans, LA 70121

19502 McKay Dr
Ste 203
Humble, TX 77338

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

2627 Chestnut Ridge Dr
Ste 100
Kingwood, TX 77339

400 Bypass Ln
Ste 110
Livingston, TX 77352
Phone (936) 252-1147

9180 Pinecroft Dr
Ste 250
Shenandoah, TX 77380
Phone (281) 955-9158

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAIACA

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1487948436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 CHESTNUT RIDGE DR STE 100",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391777",
            "telephone_number": "281-358-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 CHESTNUT RIDGE DR STE 100",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391777",
            "telephone_number": "281-358-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "WILLIE",
        "middle_name": "EARL",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-07",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "LA",
            "license": "309563",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "U8810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.