NPIMap

Individual provider Active NPI

Robert Jeremy Laningham, MD

  • Family Medicine Physician
  • Conroe, TX
National Provider Identifier
1700973682
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K3601 Issued in TX
Practice address
4015 Interstate 45 N Ste 220
Conroe, TX 77304-5076
Phone
(936) 441-1122
Fax
(936) 788-9151
NPI assigned
Oct 10, 2006
Last updated
Apr 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K3601 TX Primary

Addresses

Primary practice location

4015 Interstate 45 N Ste 220
Conroe, TX 77304-5076

Mailing address

4015 Interstate 45 N Ste 220
Conroe, TX 77304-5076
Phone (936) 441-1122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101116000059 TX Practitioner - Family Practice 7416080387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Conroe Willis Family Medicine PLLCGroup PAC ID 9931401320, 5 clinicians

Practice addresses (Care Compare)

4015 I H 45
Suite 220
Conroe, TX 77304-5076
Phone (936) 441-1122

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.5 of 100Reported as individual
Quality
86.99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions71
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Conroe Willis Family Medicine, PLLC Family Medicine CurrentSince Nov 1, 2015 Accepting new patients
Conroe Willis Family Medicine PLLC Family Medicine Current Accepting new patients
Sadler Clinic Association Past Accepting new patients

Locations

4015 Interstate 45 N
Ste 220
Conroe, TX 77304
Phone (936) 441-1122

9851 FM 1097 Rd W
Ste 120
Willis, TX 77318
Phone (936) 271-3400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/30698/brand/1/csg/1/fhir/r4
  • Direct secure messaging: robert.laningham.1@30698.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1700973682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 INTERSTATE 45 N STE 220",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773045076",
            "telephone_number": "936-441-1122",
            "fax_number": "936-788-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 INTERSTATE 45 N STE 220",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773045076",
            "telephone_number": "936-441-1122",
            "fax_number": "936-788-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANINGHAM",
        "first_name": "ROBERT",
        "middle_name": "JEREMY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K3601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.