Individual provider Active NPI

Jorge Luis Romero Fuentes, FNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1578210787
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1061931 Issued in TX
Practice address
6525 W Sam Houston Pkwy N
Houston, TX 77041-5104
Phone
(713) 856-7500
NPI assigned
Mar 8, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1061931 TX Primary

Addresses

Primary practice location

6525 W Sam Houston Pkwy N
Houston, TX 77041-5104

Mailing address

6525 W Sam Houston Pkwy N
Houston, TX 77041-5104
Phone (713) 856-7500

Other practice location 1

1919 North Loop W
Houston, TX 77008-1374
Phone (713) 742-0615

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240229003045 TX Practitioner - Nurse Practitioner 5496190415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

19333 Clay Rd
Katy, TX 77449-4001
Phone 7134626565127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Branch Community Health Center Current Accepting new patients
Spring Branch Community Health Center CurrentSince Feb 1, 2024 Accepting new patients
Spring Branch Community Health Center CurrentSince Feb 1, 2024 Accepting new patients
Spring Branch Community Health Center Past Accepting new patients

Locations

1615 Hillendahl Blvd
Ste 100
Houston, TX 77055
Phone 7134626565125

800 W Sam Houston Pkwy S
Ste 200
Houston, TX 77042
Phone (832) 786-1018

5502 1st St
Katy, TX 77493
Phone 7134626565127

19333 Clay Rd
Katy, TX 77449
Phone (713) 462-6555

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1578210787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 W SAM HOUSTON PKWY N",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770415104",
            "telephone_number": "713-856-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 W SAM HOUSTON PKWY N",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770415104",
            "telephone_number": "713-856-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 North Loop W",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770081374",
            "country_code": "US",
            "telephone_number": "713-742-0615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMERO FUENTES",
        "first_name": "JORGE LUIS",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1061931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.