Active NPI
Edmundo D Yrigoyen, M.D.
- Internal Medicine Physician
- Houston, TX
National Provider Identifier
1669530697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G2516
- Practice address
- 427 W 20TH St
Suite 708
Houston, TX 77008-2441 - Phone
- (713) 869-3402
- Fax
- (713) 869-9458
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G2516 | TX | Primary |
Addresses
Primary practice location
427 W 20TH St
Suite 708
Houston, TX 77008-2441
Mailing address
427 W 20TH St
Suite 708
Houston, TX 77008-2441
Phone (713) 869-3402
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 76-0252348 | Other | TX | TAX IDENTIFICATION |
| 1000887-01 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347580800000",
"number": "1669530697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 W 20TH ST",
"address_2": "SUITE 708",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770082441",
"telephone_number": "713-869-3402",
"fax_number": "713-869-9458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 W 20TH ST",
"address_2": "SUITE 708",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770082441",
"telephone_number": "713-869-3402",
"fax_number": "713-869-9458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YRIGOYEN",
"first_name": "EDMUNDO",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2012-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": "G2516",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION",
"identifier": "76-0252348",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000887-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.