Organization Active NPI

Bernardino Flores Abaya M.D.,PA.

  • Nephrology Physician
  • Houston, TX
National Provider Identifier
1679774715
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
J2470 Issued in TX
Legal business name
BERNARDINO FLORES ABAYA M.D.,PA.
Practice address
2517 Dorrington St
Houston, TX 77030-1928
Phone
(713) 383-7000
NPI assigned
May 29, 2007
Last updated
Feb 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Bernardino Flores Abaya, M.D.NPI 1740262013
Title
Managing Physician
Phone
(713) 383-7000

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X J2470 TX Primary

Addresses

Primary practice location

2517 Dorrington St
Houston, TX 77030-1928

Mailing address

PO Box 20149
Houston, TX 77225-0149
Phone (713) 383-7000

Other identifiers 4

IdentifierTypeStateIssuer
0059PSOtherTXBCBS GROUP #
DA5833OtherPALMETTO GBA RAILROAD
P00064045OtherTXRAILROAD MEDICARE
1466689OtherTXMEDICAID OF LOUISIANA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070927001038 TX Part B Supplier - Clinic/Group Practice 1557456027 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1679774715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20149",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772250149",
            "telephone_number": "713-383-7000",
            "fax_number": "713-383-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 DORRINGTON ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301928",
            "telephone_number": "713-383-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNARDINO FLORES ABAYA M.D.,PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "ABAYA",
        "authorized_official_first_name": "BERNARDINO",
        "authorized_official_middle_name": "FLORES",
        "authorized_official_title_or_position": "MANAGING PHYSICIAN",
        "authorized_official_telephone_number": "713-383-7000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "J2470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "0059PS",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD",
            "identifier": "DA5833",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00064045",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID OF LOUISIANA",
            "identifier": "1466689",
            "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 Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.