Individual provider Active NPI

Johanna Vivienne Ferriols Leyco-Policarpio, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Katy, TX
National Provider Identifier
1659508265
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
P1193 Issued in TX
Practice address
21308 Provincial Blvd
Katy, TX 77450-7580
Phone
(281) 206-8201
Fax
(281) 206-8206
NPI assigned
Jun 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X P1193 TX Primary

Addresses

Primary practice location

21308 Provincial Blvd
Katy, TX 77450-7580

Mailing address

21308 Provincial Blvd
Katy, TX 77450-7580
Phone (281) 206-8201

Other names 1

  • Johanna Vivienne Ferriols Leyco Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120912000094 TX Practitioner - Endocrinology 7911155247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Katy Diabetes and Endocrinology PLLCGroup PAC ID 8022473776, 2 clinicians

Practice addresses (Care Compare)

26077 Nelson Way
Suite 1201
Katy, TX 77494-6698
Phone (832) 437-6531

Hospital & facility affiliations

  • Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847
  • Columbus Community Hospital Hospital, Columbus, TX, CCN 450370
  • Houston Methodist West Hospital Hospital, Houston, TX, CCN 670077
  • Bellville Medical Center Hospital, Bellville, TX, CCN 450253
  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P1193TXMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Katy Diabetes and Endocrinology PLLC Endocrinology, Diabetes & Metabolism CurrentSince Jan 3, 2023 Accepting new patients

Locations

26077 Nelson Way
Ste 1201
Katy, TX 77494
Phone (832) 437-6531

Interoperability endpoints

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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1659508265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21308 PROVINCIAL BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774507580",
            "telephone_number": "281-206-8201",
            "fax_number": "281-206-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21308 PROVINCIAL BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774507580",
            "telephone_number": "281-206-8201",
            "fax_number": "281-206-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYCO-POLICARPIO",
        "first_name": "JOHANNA VIVIENNE",
        "middle_name": "FERRIOLS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-22",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "P1193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHANNA VIVIENNE",
            "last_name": "LEYCO",
            "middle_name": "FERRIOLS",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.