Individual provider Active NPI

Douglas Kurt Schreiber, M.D.

  • Allergy & Immunology Physician
  • Houston, TX
National Provider Identifier
1720086010
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
H8387 Issued in TX
Practice address
11750 FM 1960 Rd W
Houston, TX 77065-3514
Phone
(281) 970-8880
Fax
(281) 970-8882
NPI assigned
Jul 11, 2005
Reactivated
Mar 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X H8387 TX Primary

Addresses

Primary practice location

11750 FM 1960 Rd W
Houston, TX 77065-3514

Mailing address

11750 FM 1960 Rd W
Houston, TX 77065-3514
Phone (281) 970-8880

Other identifiers 5

IdentifierTypeStateIssuer
760499255OtherTXUNITED HEALTHCARE
0004461900OtherTXAETNA PPO POS EPO
00U62VOtherTXBLUE CROSS BLUE SHIELD
0686852OtherTXAETNA HMO
P00185022OtherTXRAILROAD MEDICARE

Other names 1

  • Dr. Douglas Kurt Schreiber Professional name

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
I20101105001156 TX Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 7113112947

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
University of Texas Medical Branch at Galveston, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11750 FM 1960 Rd W
Houston, TX 77065-3514

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H8387TXMDAllergy & Immunology Physician

Interoperability endpoints

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

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1720086010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11750 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653514",
            "telephone_number": "281-970-8880",
            "fax_number": "281-970-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653514",
            "telephone_number": "281-970-8880",
            "fax_number": "281-970-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHREIBER",
        "first_name": "DOUGLAS",
        "middle_name": "KURT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2007-11-30",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "H8387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "760499255",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO POS EPO",
            "identifier": "0004461900",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00U62V",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0686852",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00185022",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOUGLAS",
            "last_name": "SCHREIBER",
            "middle_name": "KURT",
            "prefix": "DR.",
            "credential": "M.D. P.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.