Organization Active NPI

Bariatric and General Surgery of Kingwood, PLLC

  • Surgery Physician
  • Kingwood, TX
National Provider Identifier
1659038792
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
BARIATRIC AND GENERAL SURGERY OF KINGWOOD, PLLC
Practice address
855 Rockmead Dr Ste 202
Kingwood, TX 77339-2880
Phone
(281) 825-5100
Fax
(281) 825-5101
NPI assigned
Nov 23, 2021
Last updated
Apr 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Authorized official

Name
Trina Garay
Title
Practice Manager
Phone
(303) 621-4826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

855 Rockmead Dr Ste 202
Kingwood, TX 77339-2880

Mailing address

PO Box 5479
Kingwood, TX 77325-5479
Phone (281) 825-5100

Other practice location 1

201 Kingwood Medical Dr Ste B100
Kingwood, TX 77339-6010
Phone (281) 825-5100

Other identifiers 2

IdentifierTypeStateIssuer
440030101MedicaidTX
440030103MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220301000226 TX Part B Supplier - Clinic/Group Practice 1658765011 Receives reassigned benefits from 1 practitioner
Practice locations: Kingwood, TX

National Provider Directory

National Provider Directory

Locations

855 Rockmead Dr
Ste 202
Kingwood, TX 77339
Phone (281) 825-5100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1659038792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5479",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773255479",
            "telephone_number": "281-825-5100",
            "fax_number": "281-825-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 ROCKMEAD DR STE 202",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392880",
            "telephone_number": "281-825-5100",
            "fax_number": "281-825-5101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Kingwood Medical Dr Ste B100",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773396010",
            "country_code": "US",
            "telephone_number": "281-825-5100",
            "fax_number": "281-825-5101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BARIATRIC AND GENERAL SURGERY OF KINGWOOD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "GARAY",
        "authorized_official_first_name": "TRINA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "303-621-4826"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "440030101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "440030103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.