NPIMap

Individual provider Active NPI

Anthony Fasanella, D.O.

  • Emergency Medicine Physician
  • Houston, TX
National Provider Identifier
1649384322
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
L9194 Issued in TX
Practice address
18220 State Highway 249
Attn: ER
Houston, TX 77070-4347
Phone
(281) 363-3156
NPI assigned
Aug 18, 2006
Last updated
Sep 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X L9194 TX Primary

Addresses

Primary practice location

18220 State Highway 249
Attn: ER
Houston, TX 77070-4347

Mailing address

2441 High Timbers Dr
Suite 300
The Woodlands, TX 77380-1051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041112001002 TX Practitioner - Emergency Medicine 9830090604 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hermann Hospital Based Physician GroupGroup PAC ID 4385075480, 272 clinicians

Practice addresses (Care Compare)

7474 N Grand Pkwy W
C1 100 Memorial Hermann Emergency
Spring, TX 77379-1571
Phone (713) 338-6565

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Hospital Based Physician Group Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince May 1, 2017 Accepting new patients
Texas Minor Emergency Center, LP Past Accepting new patients
Memorial Hermann Health System Past Accepting new patients
Memorial Hermann Health System Past Accepting new patients
Anderson Emergency Physicians PA Emergency Medicine Past Accepting new patients
Neptune Emergency Services, P.a. Emergency Medicine Past Accepting new patients
Northern Illinois Emergency & Occp Med Spec Past Accepting new patients

Locations

20011 Cypresswood Dr
Cypress, TX 77433

27800 NW Freeway
Cypress, TX 77433
Phone (346) 231-4000

14201 E Sam Houston Pkwy N
Ste 100
Houston, TX 77044
Phone (281) 436-8854

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

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

921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

23900 Katy Fwy
Katy, TX 77494
Phone (281) 644-7000

4533 Kingwood Dr
Ste C1
Kingwood, TX 77345

2555 Gulf Fwy S
#C1100
League City, TX 77573

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

9250 Pinecroft Dr
#C
Shenandoah, TX 77380

7474 N Grand Pkwy W
Spring, TX 77379
Phone (713) 222-2273

7474 N Grand Pkwy W
#C1100
Spring, TX 77379

17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000

9950 Woodlands Pkwy
The Woodlands, TX 77382
Phone (281) 719-3333

Organizations & group practices 8

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1649384322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 HIGH TIMBERS DR",
            "address_2": "SUITE 300",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18220 STATE HIGHWAY 249",
            "address_2": "ATTN: ER",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704347",
            "telephone_number": "281-363-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASANELLA",
        "first_name": "ANTHONY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L9194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.