Individual provider Active NPI

Meryann Corzo, MD

  • Family Medicine Physician
  • League City, TX
National Provider Identifier
1720498124
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R4381 Issued in TX
Practice address
3023 Marina Bay Dr
Ste 101
League City, TX 77573-2882
Phone
(000) 000-0000
NPI assigned
May 7, 2014
Last updated
Jul 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP-10050700 TX
Family Medicine Physician 207Q00000X R4381 TX Primary

Addresses

Primary practice location

3023 Marina Bay Dr
Ste 101
League City, TX 77573-2882

Mailing address

3023 Marina Bay Dr
Ste 101
League City, TX 77573-2882
Phone (000) 000-0000

Other practice location 1

4107 Fenetre Forest St
Katy, TX 77493-2074
Phone (000) 000-0000

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
I20171017000927 TX Practitioner - Family Practice 2668748831 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians

Practice addresses (Care Compare)

301 University Blvd
Galveston, TX 77555-5302
Phone (409) 772-2222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP-10050700TXMDFamily Medicine Physician
R4381TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Specialists of Texas, PLLC Family Medicine CurrentSince Mar 6, 2018 Accepting new patients
Utmb Faculty Group Practice CurrentSince Jul 1, 2019 Accepting new patients

Locations

2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

21800 Katy Fwy
Ste 240
Katy, TX 77449
Phone (346) 387-7001

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

3023 Marina Bay Dr
Ste 101
League City, TX 77573
Phone (281) 334-0620

6465 S Shore Blvd
Ste 500
League City, TX 77573
Phone (281) 538-7735

Interoperability endpoints

  • Direct secure messaging: mcorzomd27019@direct.utmb.edu

Organizations & group practices 2

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 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": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1720498124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 MARINA BAY DR",
            "address_2": "STE 101",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732882",
            "telephone_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 MARINA BAY DR",
            "address_2": "STE 101",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732882",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4107 Fenetre Forest St",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774932074",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORZO",
        "first_name": "MERYANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-07",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP-10050700",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R4381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.