Individual provider Active NPI

Matthew D Maruna, MD

  • Neonatal-Perinatal Medicine Physician
  • Houston, TX
National Provider Identifier
1619134095
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
Q0117 Issued in TX
Practice address
7600 Fannin St
Houston, TX 77054-1906
Phone
(713) 383-7322
NPI assigned
May 22, 2008
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 Q0117 TX
Neonatal-Perinatal Medicine Physician 2080N0001X Q0117 TX Primary

Addresses

Primary practice location

7600 Fannin St
Houston, TX 77054-1906

Mailing address

7400 Fannin St Ste 810
Houston, TX 77054-1935

Other practice location 1

6621 Fannin St
W6014
Houston, TX 77030-2358
Phone (832) 826-1309

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
I20170918000589 TX Practitioner - Pediatric Medicine 3072686427 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Texas Billing, Inc. Pediatrics CurrentSince Jul 24, 2017 Accepting new patients
Chca Bayshore LP Past Accepting new patients
Chca Womans Hospital LP Past Accepting new patients

Locations

6621 Fannin St
#W6014
Houston, TX 77030
Phone (832) 826-1309

7600 Fannin St
Houston, TX 77054
Phone (713) 791-7115

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

4000 Spencer Hwy
Pasadena, TX 77504
Phone (713) 359-1000

3001 George Bush Hwy
Ste 250
Richardson, TX 75082
Phone (888) 822-2855

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1619134095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 FANNIN ST STE 810",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541906",
            "telephone_number": "713-383-7322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6621 Fannin St",
            "address_2": "W6014",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302358",
            "country_code": "US",
            "telephone_number": "832-826-1309",
            "fax_number": "832-825-1386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARUNA",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q0117",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TX",
            "license": "Q0117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.