Individual provider Active NPI

Albert Jae Seok Heo, MD

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1609373406
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
S5650 Issued in TX
Practice address
10623 Bellaire Blvd Ste C280
Houston, TX 77072-5242
Phone
(713) 486-5900
Fax
(713) 486-5901
NPI assigned
Apr 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X S5650 TX
Internal Medicine Physician 207R00000X S5650 TX Primary

Addresses

Primary practice location

10623 Bellaire Blvd Ste C280
Houston, TX 77072-5242

Mailing address

10623 Bellaire Blvd Ste C280
Houston, TX 77072-5242
Phone (713) 486-5900

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220714004156 TX Practitioner - Internal MedicinePractitioner - Pediatric Medicine 5092196527 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut Physicians Specialty ServicesGroup PAC ID 2567544570, 83 clinicians

Practice addresses (Care Compare)

10623 Bellaire Blvd
Suite C280
Houston, TX 77072-5242
Phone (713) 486-5900

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S5650TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Specialty Services Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
TMH Physician Associates PLLC Internal Medicine CurrentSince Feb 2, 2026 Accepting new patients
TMH Physician Associates PLLC CurrentSince Feb 2, 2026 Accepting new patients
Ut Physicians Past Accepting new patients
TMH Physician Associates PLLC Past Accepting new patients

Locations

6410 Fannin St
Ste 510
Houston, TX 77030
Phone (713) 500-5736

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

427 W 20th St
Ste 500
Houston, TX 77008
Phone (713) 363-9830

10623 Bellaire Blvd
Ste C280
Houston, TX 77072
Phone (713) 486-5900

Organizations & group practices 5

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 7

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": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1609373406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10623 BELLAIRE BLVD STE C280",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770725242",
            "telephone_number": "713-486-5900",
            "fax_number": "713-486-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10623 BELLAIRE BLVD STE C280",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770725242",
            "telephone_number": "713-486-5900",
            "fax_number": "713-486-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEO",
        "first_name": "ALBERT",
        "middle_name": "JAE SEOK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-09",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "S5650",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S5650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.