NPIMap

Organization Active NPI

Katy Critical Care Consultants PLLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Katy, TX
National Provider Identifier
1639535511
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
KATY CRITICAL CARE CONSULTANTS PLLC
Practice address
23900 Katy Fwy
Katy, TX 77494-1323
Phone
(281) 703-3020
NPI assigned
Jan 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Authorized official

Name
Ethan Bing
Title
Manager
Phone
(281) 703-3020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0200X Primary

Addresses

Primary practice location

23900 Katy Fwy
Katy, TX 77494-1323

Mailing address

PO Box 475
Katy, TX 77492-0475
Phone (281) 703-3020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160518000073 TX Part B Supplier - Clinic/Group Practice 4284923053 Receives reassigned benefits from 5 practitioners
Practice locations: Katy, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1639535511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 475",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774920475",
            "telephone_number": "281-703-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23900 KATY FWY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941323",
            "telephone_number": "281-703-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATY CRITICAL CARE CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "BING",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-703-3020"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.