Active NPI
Johanna Vivienne Ferriols Leyco-Policarpio, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Katy, TX
National Provider Identifier
1659508265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- P1193
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
26077 Nelson Way
Suite 1201
Katy, TX 77494-6698
Phone (832) 437-6531
Hospital & facility affiliations
- Memorial Hermann Katy Hospital
- Columbus Community Hospital
- Houston Methodist West Hospital
- Bellville Medical Center
- Houston Methodist Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1193 | TX | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katy Diabetes and Endocrinology PLLC | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
Locations
26077 Nelson Way
Ste 1201
Katy, TX 77494
Phone (832) 437-6531
Interoperability endpoints
- 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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Katy, TX
- NPI 1639881048
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bellville, TX
- NPI 1477857332
-
- Rural Acute Care Hospital
- Columbus, TX
- NPI 1740238641
-
- General Acute Care Hospital
- Katy, TX
- NPI 1932152337
-
- General Acute Care Hospital
- Houston, TX
- NPI 1083937593
-
- General Acute Care Hospital
- Houston, TX
- NPI 1548387418
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.