Individual provider Active NPI

Wyatt Kupperman

  • Physical Medicine & Rehabilitation Physician
  • Houston, TX
National Provider Identifier
1740674548
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
S7083 Issued in TX
Practice address
7200 Cambridge St Ste 9B
Houston, TX 77030-4202
Phone
(713) 798-2225
Fax
(713) 798-8225
NPI assigned
Mar 19, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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 S7083 TX Primary

Addresses

Primary practice location

7200 Cambridge St Ste 9B
Houston, TX 77030-4202

Mailing address

7200 Cambridge St Ste 9B
Houston, TX 77030-4202

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
I20200708001527 TX Practitioner - Physical Medicine and Rehabilitation 9133452139 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians

Practice addresses (Care Compare)

2 Greenway PLZ
Suite 900
Houston, TX 77046-0205

6720 Bertner Ave
Houston, TX 77030-2604

6770 Bertner Ave
Suite C 350
Houston, TX 77030-2604
Phone (713) 798-1000

7200 Cambridge St
Houston, TX 77030-4202

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Jun 12, 2020 Accepting new patients
Baylor College of Medicine CurrentSince Jun 12, 2020 Accepting new patients
Baylor College of Medicine CurrentSince Jun 12, 2020 Accepting new patients
Baylor College of Medicine Physical Medicine & Rehabilitation CurrentSince Jun 12, 2020 Accepting new patients
Texas Children'S Physician Group Past Accepting new patients
Baylor College of Medicine Past Accepting new patients
Cardiovascular Care Providers, Inc. PastSince Apr 24, 2022 Accepting new patients

Locations

7200 Cambridge St
#10B
Houston, TX 77030
Phone (713) 798-4001

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

7200 Cambridge St
#B
Houston, TX 77030
Phone (713) 798-3498

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

1504 Taub Loop
#285
Houston, TX 77030
Phone (713) 873-2626

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

7200 Cambridge St
Ste 9B
Houston, TX 77030
Phone (713) 798-2225

6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000

Organizations & group practices 7

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": "1426723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1740674548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 CAMBRIDGE ST STE 9B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 CAMBRIDGE ST STE 9B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304202",
            "telephone_number": "713-798-2225",
            "fax_number": "713-798-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPPERMAN",
        "first_name": "WYATT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-19",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "S7083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.