Active NPI
Douglas Odin Hansen, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Houston, TX
National Provider Identifier
1598012148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 2163
- Practice address
- 915 Gessner Rd Ste 650
Houston, TX 77024-2523 - Phone
- (832) 668-5546
- Fax
- (713) 832-3048
- NPI assigned
- Aug 13, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | T45-2012 | TX | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 2163 | TX | Primary |
Addresses
Primary practice location
915 Gessner Rd Ste 650
Houston, TX 77024-2523
Mailing address
915 Gessner Rd Ste 650
Houston, TX 77024-2523
Phone (832) 668-5546
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2163 | Other | TX | TEXAS TDLR |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
915 Gessner Rd
Suite 650
Houston, TX 77024-2523
Phone (832) 668-5546
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 307 |
| Removal of skin lesions | 31 |
| Removal of nail tissue | 267 |
| Removal or shaving of skin growth | 89 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T45-2012 | TX | MD | Orthopaedic Foot and Ankle Surgery Physician |
| 2163 | TX | MD | Electroneurodiagnostic Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valhalla Foot and Ankle Specialists PLLC | Multi-Specialty | Current | Accepting new patients |
| Valhalla Foot and Ankle Specialists PLLC | Multi-Specialty | Current | Accepting new patients |
Locations
915 Gessner Rd
Ste 650
Houston, TX 77024
Phone (713) 468-2030
Interoperability endpoints
- douglas.hansen@vfaas-tx.direct.office.nextgen.com
- dhansen78829@directhoustonmethodist.org
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
-
- Durable Medical Equipment & Medical Supplies
- Houston, TX
- NPI 1578253282
Multi-Specialty
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1740233782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681344000000",
"number": "1598012148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 GESSNER RD STE 650",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770242523",
"telephone_number": "832-668-5546",
"fax_number": "713-832-3048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 GESSNER RD STE 650",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770242523",
"telephone_number": "832-668-5546",
"fax_number": "713-832-3048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "DOUGLAS",
"middle_name": "ODIN",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-13",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "TX",
"license": "T45-2012",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TX",
"license": "2163",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS TDLR",
"identifier": "2163",
"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 Apr 13, 2023; 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.