Individual provider Active NPI

Robert Theron Funk II, M.D.

  • Neurological Surgery Physician
  • Kingwood, TX
National Provider Identifier
1720345119
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
R6395 Issued in TX
Practice address
22999 Highway 59 N Ste 405
Kingwood, TX 77339-4441
Phone
(281) 571-7508
Fax
(281) 571-7512
NPI assigned
Apr 23, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X R6395 TX Primary

Addresses

Primary practice location

22999 Highway 59 N Ste 405
Kingwood, TX 77339-4441

Mailing address

22999 Highway 59 N Ste 405
Kingwood, TX 77339-4441
Phone (281) 571-7508

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
I20190620001385 TX Practitioner - Neurosurgery 1153655485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Associates of West Houston PLLCGroup PAC ID 6800056177, 125 clinicians

Practice addresses (Care Compare)

15200 Southwest Fwy
Suite 290
Sugar Land, TX 77478-3866
Phone (281) 980-2010

22999 Hwy 59 N
Humble, TX 77339-4412
Phone (281) 348-8000

22999 Hwy 59 N BLDG B
Suite 220
Kingwood, TX 77339-4412
Phone (281) 312-6457

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion20
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Associates of West Houston PLLC CurrentSince May 1, 2022 Accepting new patients
Neuro-Hospitalist of Clear Lake, PLLC CurrentSince Oct 1, 2022 Accepting new patients
United Regional Health Care System Inc Current Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1140 Business Center Dr
Ste 490
Houston, TX 77043
Phone (713) 932-1247

22999 Highway 59 N
Ste 405
Kingwood, TX 77339
Phone (281) 571-7508

15200 Southwest Fwy
Ste 290
Sugar Land, TX 77478
Phone (281) 980-2010

Interoperability endpoints

  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • Direct secure messaging: robert.funk@hca9.eclinicaldirectplus.com
  • Direct secure messaging: rfunk46609@unitedregional.medalliesdirect.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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 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": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1720345119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22999 HIGHWAY 59 N STE 405",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394441",
            "telephone_number": "281-571-7508",
            "fax_number": "281-571-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22999 HIGHWAY 59 N STE 405",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394441",
            "telephone_number": "281-571-7508",
            "fax_number": "281-571-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "ROBERT",
        "middle_name": "THERON",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-23",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "R6395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.