NPIMap

Individual provider Active NPI

Gene David Forrester, MD

  • Nephrology Physician
  • Houston, TX
National Provider Identifier
1558345116
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
H9929 Issued in TX
Practice address
607 Timberdale LN
Ste 201
Houston, TX 77090-3049
Phone
(281) 440-3005
Fax
(281) 444-9070
NPI assigned
Dec 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X H9929 TX Primary

Addresses

Primary practice location

607 Timberdale LN
Ste 201
Houston, TX 77090-3049

Mailing address

607 Timberdale LN
Ste 201
Houston, TX 77090-3049
Phone (281) 440-3005

Other identifiers 2

IdentifierTypeStateIssuer
110116254OtherTXRR MEDICARE PIN
045905901MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gene-forrester@northhoustonnephrology.e-mdsdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100128000978 TX Practitioner - NephrologyPractitioner - Internal Medicine 2163580101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Houston Nephrology and Diagnostic Associates PAGroup PAC ID 2769465053, 7 clinicians

Practice addresses (Care Compare)

607 Timberdale LN
Suite 201
Houston, TX 77090-3043
Phone (281) 440-3005

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H9929TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Houston Nephrology & Diagnostic Associates PA Nephrology CurrentSince Feb 28, 1992 Accepting new patients
Cascades Dialysis LLC PastSince Jun 1, 2010 Accepting new patients

Locations

607 Timberdale Ln
Ste 201
Houston, TX 77090
Phone (281) 440-3005

17191 St Lukes Way
Ste 290
The Woodlands, TX 77384
Phone (281) 440-3005

Interoperability endpoints

  • Direct secure messaging: gene-forrester@northhoustonnephrology.e-mdsdirect.com

Organizations & group practices 2

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 11

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": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1558345116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 TIMBERDALE LN",
            "address_2": "STE 201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903049",
            "telephone_number": "281-440-3005",
            "fax_number": "281-444-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 TIMBERDALE LN",
            "address_2": "STE 201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903049",
            "telephone_number": "281-440-3005",
            "fax_number": "281-444-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORRESTER",
        "first_name": "GENE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "H9929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "110116254",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045905901",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gene-forrester@northhoustonnephrology.e-mdsdirect.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "607 Timberdale Ln",
            "address_2": "Ste 201",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770903049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.