Active NPI
Mary Rae, MD
- Emergency Medicine Physician
- Houston, TX
National Provider Identifier
1629047295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- H4106
- Practice address
- 190 Heights Blvd
Houston, TX 77007-3729 - Phone
- (713) 529-3597
- NPI assigned
- Mar 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | H4106 | TX | Primary |
Addresses
Primary practice location
190 Heights Blvd
Houston, TX 77007-3729
Mailing address
190 Heights Blvd
Houston, TX 77007-3729
Phone (713) 529-3597
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81886K | Other | TX | BCBS THRU AEMA |
| 127728705 | Medicaid | TX | |
| 930075427 | Other | TX | RAILROAD THRU AEMA |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H4106 | TX | MD | Emergency Medicine Physician |
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": "1373414400000",
"number": "1629047295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 HEIGHTS BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770073729",
"telephone_number": "713-529-3597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 HEIGHTS BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770073729",
"telephone_number": "713-529-3597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAE",
"first_name": "MARY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-16",
"last_updated": "2013-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "H4106",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS THRU AEMA",
"identifier": "81886K",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127728705",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD THRU AEMA",
"identifier": "930075427",
"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 Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.