Airat Abimbola Agbetoba, M.D.
Individual provider Active NPI Anesthesiology Physician · Houston, TX
NPI 1659639227 · NPPES record last updated Nov 24, 2021
Key facts
- NPI
- 1659639227
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- R1334 (TX)
- Practice address
- 1500 Citywest Blvd Ste 300
Houston, TX 77042-2549 - Phone
- (713) 620-4000
- NPI assigned
- May 2, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of Texas Medical School at Houston, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- U S Anesthesia Partners of Texas, PA
Practice addresses (Care Compare)
1500 Citywest Blvd
Suite 300
Houston, TX 77042-2549
Phone (713) 620-4000
Hospital & facility affiliations
- Texas Orthopedic Hospital
- Houston Methodist Baytown Hospital
- Houston Methodist Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.94 of 100
- Quality
- 91.31
- Improvement activities
- 40
- Cost
- 79.05
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171207002095 | TX | Practitioner - Anesthesiology | 2860759370 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10042964 | TX | MD | Anesthesiology Physician |
| R1334 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U. S. Anesthesia Partners of Texas, P.a., | Anesthesiology | Current |
Accepting new patients |
| U S Anesthesia Partners of Texas, PA | Anesthesiology | Current |
Accepting new patients |
Locations
4401 Garth Rd
Baytown, TX 77521
Phone (281) 420-8500
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
1500 Citywest Blvd
Ste 300
Houston, TX 77042
Phone (713) 458-4185
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300
6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | R1334 | TX | Yes |
| Anesthesiology Physician | 207L00000X | BP10042964 | TX |
Addresses
Primary practice location
1500 Citywest Blvd Ste 300
Houston, TX 77042-2549
Mailing address
PO Box 840853
Dallas, TX 75284-0853
Phone (972) 233-1999
Other practice location 1
6606 Lbj Fwy Ste 200
Dallas, TX 75240-6524
Phone (972) 715-5000
Other providers in Houston, TX
- Zita C Agbara
- Funke F Agbasi
- Okechukwu James Agbasiele
- Linda Nwanneka Agbazue
- Bibitola Agbesanwa
- Azizat Agbetoba
- Irene E Agbeve
- Ugochukwu Agbilibeazu
- Esther Ebere Agbo
- Odumegwu Steve Agbo
All providers in Houston, TX · Anesthesiology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.