Individual provider Active NPI

Naveendra Korivi, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Houston, TX
National Provider Identifier
1609845106
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
L1360 Issued in TX
Practice address
13636 Breton Ridge St Ste D
Houston, TX 77070-6077
Phone
(832) 688-9160
Fax
(832) 688-9251
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X L1360 TX Primary

Addresses

Primary practice location

13636 Breton Ridge St Ste D
Houston, TX 77070-6077

Mailing address

13636 Breton Ridge St Ste D
Houston, TX 77070-6077
Phone (832) 688-9160

Other identifiers 1

IdentifierTypeStateIssuer
0A4705OtherMEDICARE GROUP PTAN

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 Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Podiatry PLLC CurrentSince Dec 15, 2024 Accepting new patients
Bellville Hospital District Past Accepting new patients
Rice Nuclear Diagnostics, L.P. Past Accepting new patients
The Suchowiecky Center Past Accepting new patients
Gulfcoast Pain & Rehabilitation, P.a. Physical Medicine & Rehabilitation Past Accepting new patients

Locations

13636 Breton Ridge St
Ste D
Houston, TX 77070
Phone (281) 937-4546

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.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1609845106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13636 BRETON RIDGE ST STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770706077",
            "telephone_number": "832-688-9160",
            "fax_number": "832-688-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13636 BRETON RIDGE ST STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770706077",
            "telephone_number": "832-688-9160",
            "fax_number": "832-688-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORIVI",
        "first_name": "NAVEENDRA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "L1360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "0A4705",
            "state": null
        }
    ],
    "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 Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.