NPIMap

Individual provider Active NPI

Cindy Ivanhoe, MD

  • Physical Medicine & Rehabilitation Physician
  • Houston, TX
National Provider Identifier
1740217397
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
F2616 Issued in TX
Practice address
1333 Moursund St
#D110
Houston, TX 77030-3405
Phone
(713) 797-5236
Fax
(713) 797-5241
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X F2616 TX Primary

Addresses

Primary practice location

1333 Moursund St
#D110
Houston, TX 77030-3405

Mailing address

1333 Moursund St
#D110
Houston, TX 77030-3405
Phone (713) 797-5236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050907001049 TX Practitioner - Physical Medicine and Rehabilitation 4284666561 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

6411 Fannin St
Houston, TX 77030-1501
Phone (713) 704-4000

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068
  • Tirr Memorial Hermann Inpatient rehabilitation facility, Houston, TX, CCN 453025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F2616TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine Physical Medicine & Rehabilitation CurrentSince Jan 27, 2014 Accepting new patients
Baylor College of Medicine CurrentSince Jan 27, 2014 Accepting new patients
Ut Physicians CurrentSince Sep 1, 2019 Accepting new patients
Ut Physicians CurrentSince Sep 1, 2019 Accepting new patients
Neuropsychology Management Partners, LLC PastSince Sep 21, 2013 Accepting new patients
Medical Center Rehabilitation Physicians Physical Medicine & Rehabilitation Past Accepting new patients

Locations

6624 Fannin St
Ste 2330
Houston, TX 77030
Phone (713) 798-4061

6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

1333 Moursund St
#D110
Houston, TX 77030
Phone (713) 797-5236

6621 Fannin St
Houston, TX 77030
Phone (832) 824-1866

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

1333 Moursund St
Houston, TX 77030
Phone (713) 797-5912

1213 Hermann Dr
Ste 740
Houston, TX 77004
Phone (713) 621-4422

Interoperability endpoints

  • Direct secure messaging: civanhoe41637@memorialhermann.direct-ci.com

Organizations & group practices 6

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 9

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297123200000",
    "number": "1740217397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 MOURSUND ST",
            "address_2": "#D110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303405",
            "telephone_number": "713-797-5236",
            "fax_number": "713-797-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 MOURSUND ST",
            "address_2": "#D110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303405",
            "telephone_number": "713-797-5236",
            "fax_number": "713-797-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVANHOE",
        "first_name": "CINDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2011-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "F2616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.