Individual provider Active NPI

Mukerrem Y Ersoy, M.D.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1750586137
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M7168 Issued in TX
Practice address
1701 Sunset Blvd
Houston, TX 77005-1713
Phone
(713) 526-5511
Fax
(713) 520-4705
NPI assigned
Jun 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M7168 TX Primary

Addresses

Primary practice location

1701 Sunset Blvd
Houston, TX 77005-1713

Mailing address

PO Box 4767
Houston, TX 77210-4767
Phone (713) 526-5511

Other identifiers 3

IdentifierTypeStateIssuer
8CJ787OtherTXBCBSTX
188384503MedicaidTX
P00847520OtherRR MEDICARE

Other names 1

  • Yesim Ersoy Morice Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M7168TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC Internal Medicine Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1750586137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4767",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104767",
            "telephone_number": "713-526-5511",
            "fax_number": "713-520-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SUNSET BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051713",
            "telephone_number": "713-526-5511",
            "fax_number": "713-520-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERSOY",
        "first_name": "MUKERREM",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M7168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8CJ787",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188384503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00847520",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YESIM",
            "last_name": "MORICE",
            "middle_name": "ERSOY",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.