Individual provider Active NPI

Cristina Boccalandro, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Houston, TX
National Provider Identifier
1508890427
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
L3924 Issued in TX
Practice address
6560 Fannin St Ste 2020
Houston, TX 77030-2736
Phone
(713) 800-6212
Fax
(713) 800-6241
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L3924 TX
Endocrinology, Diabetes & Metabolism Physician 207RE0101X L3924 TX Primary

Addresses

Primary practice location

6560 Fannin St Ste 2020
Houston, TX 77030-2736

Mailing address

6560 Fannin St Ste 2020
Houston, TX 77030-2736
Phone (713) 800-6212

Other identifiers 1

IdentifierTypeStateIssuer
8AP970OtherTXBC TEX

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
I20040914000793 TX Practitioner - EndocrinologyPractitioner - Internal Medicine 4688641186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group Gulf Coast PLLCGroup PAC ID 4688999022, 511 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

7900 Fannin St
Suite 4400
Houston, TX 77054-2949
Phone (713) 512-7900

8215 Cypresswood Dr
Spring, TX 77379-7466
Phone (832) 717-0877

Hospital & facility affiliations

  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358
  • Houston Methodist Sugarland Hospital Hospital, Sugar Land, TX, CCN 450820
  • Baylor St Lukes Medical Center Hospital, Houston, TX, CCN 450193

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L3924TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast PLLC CurrentSince Apr 18, 2018 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Apr 18, 2018 Accepting new patients
Ut Physicians Internal Medicine Past Accepting new patients
Ut Physicians Past Accepting new patients

Locations

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200

6624 Fannin St
Ste 2380
Houston, TX 77030
Phone (713) 790-1790

1200 Binz St
Ste 1490
Houston, TX 77004
Phone (713) 512-7027

6560 Fannin St
Ste 2020
Houston, TX 77030
Phone (281) 868-1400

7900 Fannin St
Ste 4400
Houston, TX 77054
Phone (713) 512-7900

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Interoperability endpoints

  • Direct secure messaging: cboccalandro377520@directhoustonmethodist.org
  • Direct secure messaging: cristina.boccalandro.1@8042.direct.athenahealth.com

Organizations & group practices 5

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 3

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1508890427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 2020",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302736",
            "telephone_number": "713-800-6212",
            "fax_number": "713-800-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 2020",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302736",
            "telephone_number": "713-800-6212",
            "fax_number": "713-800-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCCALANDRO",
        "first_name": "CRISTINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L3924",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "L3924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC TEX",
            "identifier": "8AP970",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.