Individual provider Active NPI

Emily Heerensperger, MD

  • Anesthesiology Physician
  • Houston, TX
National Provider Identifier
1720519069
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
T1723 Issued in TX
Practice address
15775 Park Ten PL
Houston, TX 77084-5153
Phone
(281) 647-2300
NPI assigned
Mar 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X T1723 TX Primary

Addresses

Primary practice location

15775 Park Ten PL
Houston, TX 77084-5153

Mailing address

15775 Park Ten PL
Houston, TX 77084-5153

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
I20210714000573 TX Practitioner - Anesthesiology 5395147300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Medical School at Houston, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Anesthesia Associates PAGroup PAC ID 7618948100, 13 clinicians

Practice addresses (Care Compare)

15775 Park Ten PL
Houston, TX 77084-5153
Phone (281) 550-5556

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Anesthesia Associates PA Anesthesiology CurrentSince Jul 1, 2021 Accepting new patients

Locations

15775 Park Ten Pl
Houston, TX 77084
Phone (281) 550-5556

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1720519069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15775 PARK TEN PL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15775 PARK TEN PL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845153",
            "telephone_number": "281-647-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEERENSPERGER",
        "first_name": "EMILY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "T1723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.