Individual provider Active NPI

Caom Hansen, MD

  • Family Medicine Physician
  • Cypress, TX
National Provider Identifier
1700313384
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R9627 Issued in TX
Practice address
21216 Northwest Fwy Ste 400
Cypress, TX 77429-4696
Phone
(346) 338-2555
NPI assigned
May 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X R9627 TX Primary

Addresses

Primary practice location

21216 Northwest Fwy Ste 400
Cypress, TX 77429-4696

Mailing address

PO Box 57845
Webster, TX 77598-7845

Other practice location 1

21216 Northwest Fwy Ste 290
Cypress, TX 77429-1439
Phone (346) 338-2555

Other practice location 2

500 N Kobayashi Ste A
Webster, TX 77598-4722
Phone (346) 250-6010

Other practice location 3

500 N Kobayashi Ste F
Webster, TX 77598-4722
Phone (281) 724-1860

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
I20190515000684 TX Practitioner - Family Practice 7113298522 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clear Lake Primary Care PLLCGroup PAC ID 6406001627, 45 clinicians

Practice addresses (Care Compare)

9645 Barker Cypress Rd
Suite 100
Cypress, TX 77433-5292
Phone (346) 250-6010

Hospital & facility affiliations

  • HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R9627TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CLS Health PLLC CurrentSince Feb 2, 2026 Accepting new patients
Moore County Hospital District Family Medicine CurrentSince Apr 24, 2021 Accepting new patients
Clear Lake Hospitalists PA CurrentSince Jun 1, 2025 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Sep 27, 2019 Accepting new patients
Concord Medical Group PLLC CurrentSince Nov 16, 2019 Accepting new patients
Emergency Staffing Solutions of West Texas LLC CurrentSince Nov 1, 2020 Accepting new patients
Clear Lake Primary Care PLLC Family Medicine CurrentSince Jun 1, 2025 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

21216 Northwest Fwy
Ste 400
Cypress, TX 77429
Phone (346) 209-9678

21216 Northwest Fwy
Ste 290
Cypress, TX 77429
Phone (346) 254-1511

9645 Barker Cypress Rd
Ste 100
Cypress, TX 77433
Phone (281) 894-2900

21216 Northwest Fwy
Ste 209
Cypress, TX 77429

224 E 2nd St
Dumas, TX 79029
Phone (806) 934-7813

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

540 W 15th St
Hereford, TX 79045
Phone (806) 364-2141

2200 N Bryan Ave
Lamesa, TX 79331
Phone (806) 872-2183

1900 College Ave
Levelland, TX 79336
Phone (806) 894-3141

500 N Kobayashi
Ste F
Webster, TX 77598
Phone (281) 816-3092

500 N Kobayashi
Ste A
Webster, TX 77598
Phone (281) 724-7341

600 N Kobayashi
Ste 213
Webster, TX 77598
Phone (281) 724-1862

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFFDBA

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1700313384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57845",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775987845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21216 NORTHWEST FWY STE 400",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294696",
            "telephone_number": "346-338-2555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21216 Northwest Fwy Ste 290",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774291439",
            "country_code": "US",
            "telephone_number": "346-338-2555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 N Kobayashi Ste A",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984722",
            "country_code": "US",
            "telephone_number": "346-250-6010",
            "fax_number": "346-200-3572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 N Kobayashi Ste F",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984722",
            "country_code": "US",
            "telephone_number": "281-724-1860",
            "fax_number": "281-724-1861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "CAOM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-15",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R9627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.