Angelis Berios, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H1040 Issued in TX

Practice address

24540 FM 1314 Rd
Porter, TX 77365-4204

Phone

(281) 354-4009

Fax

(281) 354-8815

NPI assigned

Nov 2, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Cypresswood Physicians PLLC

  • Hospitalist Physician
  • Spring, TX
  • NPI 1043605785
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1689665382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24540 FM 1314 RD",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773654204",
            "telephone_number": "281-354-4009",
            "fax_number": "281-354-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24540 FM 1314 RD",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773654204",
            "telephone_number": "281-354-4009",
            "fax_number": "281-354-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERIOS",
        "first_name": "ANGELIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H1040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00QJ87",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111840801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryan H Baughman, MHA - CONSULTANT
• Assata Bazile
• Grace Lynnette Beal, OTR
• Elizabeth Belcon, LPC, LMFT-ASSOCIATE
• Chynah M Benton, MA, CCC-SLP
• Ashley Nicole Berry, M.S., CCC-SLP
• Betterbrace
• Michael Dan Beyer Jr., D.C.
• Jenna Binford, MA, LPCA
• Sherri Lynn Binnion, D.C.

• Family Medicine Physician in Porter, TX
• Providers in Porter, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.