Organization Active NPI

Mauricio a Reinoso MD PA

  • Pulmonary Disease Physician
  • Sugar Land, TX
National Provider Identifier
1710197025
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
J5877 Issued in TX
Legal business name
MAURICIO A REINOSO MD PA
Practice address
16605 Southwest Fwy
Suite 310
Sugar Land, TX 77479-3501
Phone
(281) 980-1330
Fax
(281) 980-1331
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Authorized official

Name
Koko Taylor
Title
Office Administrator
Phone
(281) 980-1330

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0200X J5877 TX
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X J5877 TX Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RS0012X J5877 TX

Addresses

Primary practice location

16605 Southwest Fwy
Suite 310
Sugar Land, TX 77479-3501

Mailing address

16605 Southwest Fwy
Suite 310
Sugar Land, TX 77479-3501
Phone (281) 980-1330

Other identifiers 1

IdentifierTypeStateIssuer
0093NXOtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • Southwest Pulmonary and Sleep Disorders Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070612000752 TX Part B Supplier - Clinic/Group Practice 4183722390 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX; Sugar Land, TX
O20140729000255 AK Part B Supplier - Clinic/Group Practice 4183722390 Receives reassigned benefits from 1 practitioner
Practice locations: Anchorage, AK; Wasilla, AK

National Provider Directory

National Provider Directory
Tax ID family
Mauricio a Reinoso MD PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3920 Lake Otis Pkwy
Ste 3
Anchorage, AK 99508
Phone (907) 770-9104

7789 Southwest Fwy
Ste 560
Houston, TX 77074
Phone (281) 980-1330

16605 Southwest Fwy
Ste 310
Sugar Land, TX 77479
Phone (281) 980-1330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1710197025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16605 SOUTHWEST FWY",
            "address_2": "SUITE 310",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793501",
            "telephone_number": "281-980-1330",
            "fax_number": "281-980-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16605 SOUTHWEST FWY",
            "address_2": "SUITE 310",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793501",
            "telephone_number": "281-980-1330",
            "fax_number": "281-980-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURICIO A REINOSO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "KOKO",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "281-980-1330"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "J5877",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "J5877",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TX",
            "license": "J5877",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0093NX",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Pulmonary and Sleep Disorders",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.