Organization Active NPI

Fort Bend Pulmonology, PLLC

  • Specialist
  • Sugar Land, TX
National Provider Identifier
1629118658
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
L8011 Issued in TX
Legal business name
FORT BEND PULMONOLOGY, PLLC
Practice address
17510 West Grand Parkway
Suit 400
Sugar Land, TX 77479
Phone
(281) 341-3036
Fax
(281) 341-3015
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Authorized official

Name
Dr. David C Chao, M.D.NPI 1346277043
Title
Owner
Phone
(281) 341-3036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X L8011 TX Primary

Addresses

Primary practice location

17510 West Grand Parkway
Suit 400
Sugar Land, TX 77479

Mailing address

17510 West Grand Parkway
Suit 400
Sugar Land, TX 77479
Phone (281) 341-3036

Other identifiers 1

IdentifierTypeStateIssuer
L8011OtherTXTX LIC #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070921000680 TX Part B Supplier - Clinic/Group Practice 3072607910 Receives reassigned benefits from 2 practitioners
Practice locations: Sugar Land, TX

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EAIHBA

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1629118658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17510 WEST GRAND PARKWAY",
            "address_2": "SUIT 400",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77479",
            "telephone_number": "281-341-3036",
            "fax_number": "281-341-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17510 WEST GRAND PARKWAY",
            "address_2": "SUIT 400",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77479",
            "telephone_number": "281-341-3036",
            "fax_number": "281-341-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT BEND PULMONOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "CHAO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-341-3036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "L8011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LIC #",
            "identifier": "L8011",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.