Active NPI
Don Louis Berardinucci, M.D.
- Urology Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- K5809
- Practice address
- 17070 Red Oak Dr
Suite 200
Houston, TX 77090-2619 - Phone
- (281) 444-7077
- Fax
- (281) 444-5799
- NPI assigned
- Jul 20, 2005
- Last updated
- Nov 21, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | K5809 | TX | Primary |
Addresses
Primary practice location
17070 Red Oak Dr
Suite 200
Houston, TX 77090-2619
Mailing address
22710 Professional Dr
Ste 102
Kingwood, TX 77339-6009
Phone (972) 997-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 083556301 | Medicaid | TX |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K5809 | TX | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physicians Association, PLLC | Urology | Current | Accepting new patients |
| Urology Specialists PA | Urology | Current | Accepting new patients |
| Millennium Physicians Association PLLC | Current | Accepting new patients | |
| New Medical Horizons II, LTD. | Past | Accepting new patients | |
| Urology Specialists PA | Urology | Past | Accepting new patients |
| Red Oak Urology Center PA | Urology | Past | Accepting new patients |
Locations
1250 Cypress Station Dr
Ste B
Houston, TX 77090
Phone (281) 537-0300
17070 Red Oak Dr
Ste 200
Houston, TX 77090
18220 Tomball Pkwy
Ste 280
Houston, TX 77070
Phone (281) 737-8465
22710 Professional Dr
Ste 102
Kingwood, TX 77339
22730 Professional Dr
Kingwood, TX 77339
Phone (281) 312-8545
9319 Pinecroft Dr
Ste 130
The Woodlands, TX 77380
Phone (281) 315-8120
Interoperability endpoints
- don.berardinucci.p1@direct.mphcc.nextgenshare.com
- don.berardinucci@hca7.eclinicaldirectplus.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Millennium Oncology
- Multi-Specialty Clinic/Center
- The Woodlands, TX
- NPI 1255397733
Urology
-
dba Millennium Pharmacy #2
- Community/Retail Pharmacy
- Kingwood, TX
- NPI 1811385727
-
- Urology Physician
- Houston, TX
- NPI 1689753915
-
dba Cypress Fairbanks Medical Center Hospital
- General Acute Care Hospital
- Houston, TX
- NPI 1477583334
-
- Urology Physician
- Houston, TX
- NPI 1619013950
-
- Urology Physician
- The Woodlands, TX
- NPI 1598917106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542758400000",
"number": "1699774679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22710 PROFESSIONAL DR",
"address_2": "STE 102",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773396009",
"telephone_number": "972-997-8000",
"fax_number": "972-234-0813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17070 RED OAK DR",
"address_2": "SUITE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770902619",
"telephone_number": "281-444-7077",
"fax_number": "281-444-5799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERARDINUCCI",
"first_name": "DON",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2018-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "K5809",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "083556301",
"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 Nov 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.