Individual provider Active NPI

Don Louis Berardinucci, M.D.

  • Urology Physician
  • Houston, TX
National Provider Identifier
1699774679
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
K5809 Issued in TX
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
083556301MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080828000558 TX Practitioner - Urology 8628143955 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K5809TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physicians Association, PLLC Urology CurrentSince Dec 1, 2018 Accepting new patients
Urology Specialists PA Urology Current Accepting new patients
Millennium Physicians Association PLLC CurrentSince Dec 1, 2018 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

  • Direct secure messaging: don.berardinucci.p1@direct.mphcc.nextgenshare.com
  • Direct secure messaging: don.berardinucci@hca7.eclinicaldirectplus.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.