Individual provider Active NPI

Hans M Vonmarensdorff, MD

  • Internal Medicine Physician
  • Galveston, TX
National Provider Identifier
1497816482
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J0716 Issued in TX
Practice address
400 Harborside Dr
Galveston, TX 77555-0001
Phone
(409) 772-2222
Fax
(409) 772-0885
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J0716 TX Primary

Addresses

Primary practice location

400 Harborside Dr
Galveston, TX 77555-0001

Mailing address

301 University Blvd
Galveston, TX 77555-1022
Phone (409) 747-0890

Other practice location 1

4700 Broadway St Ste F100
Galveston, TX 77551-4208
Phone (409) 938-2234

Other practice location 2

9850C Emmett F Lowry Expy Ste C103
Texas City, TX 77591-2122
Phone (409) 938-2234

Other identifiers 2

IdentifierTypeStateIssuer
8BC332OtherTXBCBS
116889002MedicaidTX

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
I20090702000420 TX Practitioner - Internal Medicine 1658422639 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Maryland School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians

Practice addresses (Care Compare)

400 Harborside Dr
Suite 105 107
Galveston, TX 77555-0001
Phone (409) 747-1883

Hospital & facility affiliations

  • University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018

Merit-based Incentive Payment System (MIPS)

Final score
78.88 of 100Reported as group
Quality
73.38
Improvement activities
40
Cost
78.42

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Health & Wellness Current Accepting new patients
Coastal Health & Wellness CurrentSince Dec 6, 2022 Accepting new patients
Utmb Faculty Group Practice Internal Medicine CurrentSince Nov 10, 2022 Accepting new patients

Locations

4700 Broadway St
Ste 100
Galveston, TX 77551
Phone (409) 763-7204

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

4700 Broadway St
Ste F100
Galveston, TX 77551
Phone (409) 763-7273

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

6410 Fannin St
Ste 600
Houston, TX 77030
Phone (832) 325-7100

2660 Gulf Fwy S
League City, TX 77573
Phone (832) 505-2100

1805 13th Ave N
Texas City, TX 77590
Phone (409) 916-0512

9850 Emmett F Lowry Expy
Ste C103
Texas City, TX 77591
Phone (409) 938-2234

Interoperability endpoints

  • Direct secure messaging: hvonmarensdorffmd6773@direct.utmb.edu
  • Direct secure messaging: hvonmarensdorffmd253183@carlehiedirect.net

Organizations & group practices 3

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 1

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1497816482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775551022",
            "telephone_number": "409-747-0890",
            "fax_number": "409-772-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HARBORSIDE DR",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550001",
            "telephone_number": "409-772-2222",
            "fax_number": "409-772-0885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Broadway St Ste F100",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775514208",
            "country_code": "US",
            "telephone_number": "409-938-2234",
            "fax_number": "409-938-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9850C Emmett F Lowry Expy Ste C103",
            "address_purpose": "LOCATION",
            "city": "Texas City",
            "state": "TX",
            "postal_code": "775912122",
            "country_code": "US",
            "telephone_number": "409-938-2234",
            "fax_number": "409-938-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VONMARENSDORFF",
        "first_name": "HANS",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J0716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8BC332",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116889002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.