Individual provider Active NPI

Hoa Hamidjaja, NP

  • Family Nurse Practitioner
  • Kingwood, TX
National Provider Identifier
1659770543
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP126142 Issued in TX
Practice address
22999 Highway 59 N Ste 204
Kingwood, TX 77339-4439
Phone
(281) 312-6313
NPI assigned
Aug 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP126142 TX Primary

Addresses

Primary practice location

22999 Highway 59 N Ste 204
Kingwood, TX 77339-4439

Mailing address

22999 Highway 59 N 204
Kingwood, TX 77339-4439
Phone (281) 312-6313

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150914002220 TX Practitioner - Nurse Practitioner 8426365180 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ramakrishna V Chava MD PA CurrentSince Aug 1, 2015 Accepting new patients
Village Family Practice, L.L.P CurrentSince May 1, 2024 Accepting new patients
Villagemd of Southeast Texas, PA CurrentSince May 1, 2024 Accepting new patients
Advanced Practice House Calls LLC Family CurrentSince Jan 1, 2021 Accepting new patients
Advance Pharmacy LLC PastSince Jan 1, 2021 Accepting new patients

Locations

9055 Katy Fwy
Ste 200
Houston, TX 77024
Phone (346) 980-2701

2646 S Loop W
Ste 330
Houston, TX 77054
Phone (281) 888-4407

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000

22999 Highway 59 N
Ste 204
Kingwood, TX 77339
Phone (281) 312-6313

302 Highway 3 S
League City, TX 77573
Phone (281) 332-6573

6122 Broadway St
#100
Pearland, TX 77581
Phone (346) 398-7252

15200 Southwest Fwy
Sugar Land, TX 77478
Phone (346) 646-3302

Interoperability endpoints

  • Direct secure messaging: hoa.hamidjaja.1@13711.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1659770543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22999 HIGHWAY 59 N 204",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394439",
            "telephone_number": "281-312-6313",
            "fax_number": "281-612-6314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22999 HIGHWAY 59 N STE 204",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394439",
            "telephone_number": "281-312-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMIDJAJA",
        "first_name": "HOA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-18",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.