Individual provider Active NPI

Nam Phan Ho, M.D

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1730344185
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N0099 Issued in TX
Practice address
12924 Bellaire Blvd Ste 100
Houston, TX 77072-5132
Phone
(713) 457-5500
NPI assigned
Jul 25, 2008
Last updated
Mar 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N0099 TX Primary

Addresses

Primary practice location

12924 Bellaire Blvd Ste 100
Houston, TX 77072-5132

Mailing address

12924 Bellaire Blvd Ste 100
Houston, TX 77072-5132
Phone (713) 457-5500

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
I20130807000974 TX Practitioner - Family Practice 6800038647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rudolph Medical Associates PA.Group PAC ID 9335193762, 3 clinicians

Practice addresses (Care Compare)

12924 Bellaire Blvd
Suite 100
Houston, TX 77072-5132
Phone (713) 457-5500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N0099TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rudolph Medical Associates, PA CurrentSince Apr 8, 2013 Accepting new patients

Locations

12924 Bellaire Blvd
Ste 100
Houston, TX 77072
Phone (713) 457-2300

Interoperability endpoints

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

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": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1730344185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12924 BELLAIRE BLVD STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770725132",
            "telephone_number": "713-457-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12924 BELLAIRE BLVD STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770725132",
            "telephone_number": "713-457-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "NAM",
        "middle_name": "PHAN",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-25",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N0099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.