Active NPI
Mauricio a Reinoso MD PA
- Pulmonary Disease Physician
- Sugar Land, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- J5877
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | J5877 | TX | |
| Pulmonary Disease Physician | 207RP1001X | J5877 | TX | Primary |
| Sleep Medicine (Internal Medicine) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0093NX | Other | TX | BLUE CROSS BLUE SHIELD |
Other names 1
- Southwest Pulmonary and Sleep Disorders
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AK
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PA
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pulmonary Disease Physician
- Sugar Land, TX
- NPI 1407045701
-
- Pulmonary Disease Physician
- Houston, TX
- NPI 1053501254
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.
-
- Pulmonary Disease Physician
- Sugar Land, TX
- NPI 1972597474
AK, Critical Care Medicine, TX
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.