Active NPI
Kenneth Otto Albers, M.D.
- Family Medicine Physician
- Houston, TX
National Provider Identifier
1568535995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D4904
- Practice address
- 909 Dairy Ashford St
Suite 216
Houston, TX 77079-5309 - Phone
- (281) 493-3681
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D4904 | TX | Primary |
Addresses
Primary practice location
909 Dairy Ashford St
Suite 216
Houston, TX 77079-5309
Mailing address
1035 Ivy Wall Dr
Houston, TX 77079-5037
Phone (281) 493-1645
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8G4740 | Other | TX | B.C.-B.S. PROVIDER NO. |
| 01290024 | Other | TX | MEDCARE RAILRD PROVIDER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D4904 | TX | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1568535995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 IVY WALL DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770795037",
"telephone_number": "281-493-1645",
"fax_number": "281-589-1465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 DAIRY ASHFORD ST",
"address_2": "SUITE 216",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770795309",
"telephone_number": "281-493-3681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBERS",
"first_name": "KENNETH",
"middle_name": "OTTO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "D4904",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "B.C.-B.S. PROVIDER NO.",
"identifier": "8G4740",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCARE RAILRD PROVIDER",
"identifier": "01290024",
"state": "TX"
}
],
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.