Organization Active NPI

North Houston Gynecologic Oncology Surgeons PLLC

  • Gynecologic Oncology Physician
  • Shenandoah, TX
National Provider Identifier
1669927752
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
Legal business name
NORTH HOUSTON GYNECOLOGIC ONCOLOGY SURGEONS PLLC
Practice address
128 Vision Park Blvd
280
Shenandoah, TX 77384-3017
Phone
(281) 292-1400
Fax
(281) 292-1404
NPI assigned
Aug 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Authorized official

Name
Nefertiti Dupont, MDNPI 1326105511
Title
President
Phone
(936) 207-4287

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X TX
Gynecologic Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0201X TX Primary
Surgical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086X0206X TX

Addresses

Primary practice location

128 Vision Park Blvd
280
Shenandoah, TX 77384-3017

Mailing address

128 Vision Park Blvd Ste 280
Shenandoah, TX 77384-3021
Phone (936) 207-4287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161228000687 TX Part B Supplier - Clinic/Group Practice 4789965062 Receives reassigned benefits from 1 practitioner
Practice locations: Shenandoah, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2125455North Houston Gynecologic Oncology Surgeons PLLC128 Vision Park Blvd Suite 280, Shenandoah, TX 77384Certificate of waiverFeb 6, 2027

National Provider Directory

National Provider Directory

Locations

128 Vision Park Blvd
Ste 280
Shenandoah, TX 77384
Phone (281) 292-1400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1669927752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 VISION PARK BLVD STE 280",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843021",
            "telephone_number": "936-207-4287",
            "fax_number": "936-447-9269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 VISION PARK BLVD",
            "address_2": "280",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843017",
            "telephone_number": "281-292-1400",
            "fax_number": "281-292-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH HOUSTON GYNECOLOGIC ONCOLOGY SURGEONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "DUPONT",
        "authorized_official_first_name": "NEFERTITI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-207-4287",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.