Active NPI
Yitzchak Etan Weinstock, M.D.
- Otolaryngology Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- N3385
- Practice address
- 2727 W Holcombe Blvd
Houston, TX 77025 - Phone
- (713) 442-0000
- NPI assigned
- Jun 10, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | N3385 | TX | Primary |
Addresses
Primary practice location
2727 W Holcombe Blvd
Houston, TX 77025
Mailing address
11511 Shadow Creek Pkwy
Pearland, TX 77584-7298
Phone (713) 442-0000
Other practice location 1
106 Vision Park Blvd
Shenandoah, TX 77384-3000
Phone (713) 442-1800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203140305 | Medicaid | TX | |
| 203140306 | Medicaid | TX |
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | yweinstock18844@direct.kelsey-seybold.com | Direct | |
| FHIR URL | https://ssrx.ksnet.com/FhirProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) | |
| Direct Messaging Address | yweinstock18844@direct.kelsey-seybold.com | Direct | |
| FHIR URL | https://ssrx.ksnet.com/FhirProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Albert Einstein College of Medicine of Yeshiva University, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2727 W Holcombe Blvd
Houston, TX 77025-1669
Phone (713) 442-0000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N3385 | TX | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelsey-Seybold Medical Group, PLLC | Otolaryngology | Current | Accepting new patients |
Locations
2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412
7010 Highway 6
Missouri City, TX 77459
Phone (713) 442-4200
11511 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 442-4997
2515 Business Center Dr
Pearland, TX 77584
Phone (713) 442-7200
106 Vision Park Blvd
Shenandoah, TX 77384
Phone (713) 442-1800
22407 Holzwarth Rd
Spring, TX 77389
Phone (346) 674-4000
1010 S Ponds Dr
Webster, TX 77598
Phone (713) 442-4300
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Houston, TX
- NPI 1013915255
Otolaryngology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626393600000",
"number": "1568698017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11511 SHADOW CREEK PKWY",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847298",
"telephone_number": "713-442-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 W HOLCOMBE BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77025",
"telephone_number": "713-442-0000"
}
],
"practiceLocations": [
{
"address_1": "106 Vision Park Blvd",
"address_purpose": "LOCATION",
"city": "Shenandoah",
"state": "TX",
"postal_code": "773843000",
"country_code": "US",
"telephone_number": "713-442-1800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEINSTOCK",
"first_name": "YITZCHAK",
"middle_name": "ETAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-10",
"last_updated": "2021-07-16",
"certification_date": "2021-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "N3385",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203140305",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203140306",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "yweinstock18844@direct.kelsey-seybold.com",
"affiliation": "N",
"endpointDescription": "digital contact information",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2727 W Holcombe Blvd",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "77025",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://ssrx.ksnet.com/FhirProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FHIR endpoint URL",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2727 W Holcombe Blvd",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "77025",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "yweinstock18844@direct.kelsey-seybold.com",
"affiliation": "N",
"endpointDescription": "digital contact information",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "106 Vision Park Blvd",
"city": "Shenandoah",
"state": "TX",
"country_code": "US",
"postal_code": "773843000",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://ssrx.ksnet.com/FhirProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FHIR endpoint URL",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "106 Vision Park Blvd",
"city": "Shenandoah",
"state": "TX",
"country_code": "US",
"postal_code": "773843000",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.