Organization Active NPI

Bayou City Surgical Specialists, PLLC

  • Colon & Rectal Surgery Physician
  • Houston, TX
National Provider Identifier
1508223041
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
Legal business name
BAYOU CITY SURGICAL SPECIALISTS, PLLC
Practice address
15015 Kirby Dr
Suite 201
Houston, TX 77047-2580
Phone
(832) 942-8350
NPI assigned
Jan 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Authorized official

Name
Terah Isaacson, MDNPI 1023220316
Title
Partner
Phone
(832) 942-8350

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Colon & Rectal Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208C00000X Primary

Addresses

Primary practice location

15015 Kirby Dr
Suite 201
Houston, TX 77047-2580

Mailing address

412 Quitman St
Houston, TX 77009-7753
Phone (832) 622-3207

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160301000075 TX Part B Supplier - Clinic/Group Practice 2466757448 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX; Pearland, TX

National Provider Directory

National Provider Directory

Locations

1900 North Loop W
Ste 580
Houston, TX 77018
Phone (713) 714-5376

15015 Kirby Dr
Ste 201
Houston, TX 77047
Phone (832) 942-8350

634 W Cavalcade St
Unit 30226
Houston, TX 77249

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15216/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1508223041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 QUITMAN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770097753",
            "telephone_number": "832-622-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15015 KIRBY DR",
            "address_2": "SUITE 201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770472580",
            "telephone_number": "832-942-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYOU CITY SURGICAL SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "ISAACSON",
        "authorized_official_first_name": "TERAH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "832-942-8350",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.