Individual provider Active NPI

Ethan J. Podet, M.D.

  • Cardiovascular Disease Physician
  • Houston, TX
National Provider Identifier
1760428106
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G3055 Issued in TX
Practice address
1315 St Joseph Pkwy Ste 1605
Houston, TX 77002-8232
Phone
(713) 652-3025
Fax
(713) 652-9004
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G3055 TX Primary

Addresses

Primary practice location

1315 St Joseph Pkwy Ste 1605
Houston, TX 77002-8232

Mailing address

1315 St Joseph Pkwy Ste 1605
Houston, TX 77002-8232
Phone (713) 652-3025

Other identifiers 2

IdentifierTypeStateIssuer
098272002MedicaidTX
098272001MedicaidTX

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
I20100322000400 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6709911415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Baylor College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Associates of West Houston PLLCGroup PAC ID 6800056177, 125 clinicians

Practice addresses (Care Compare)

1200 Binz St
Houston, TX 77004-6900
Phone (281) 970-6500

Hospital & facility affiliations

  • HCA Houston Healthcare Medical Center Hospital, Houston, TX, CCN 450659
  • HCA Houston Healthcare Northwest Hospital, Houston, TX, CCN 450638
  • Texas Orthopedic Hospital Hospital, Houston, TX, CCN 450804

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G3055TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Associates of West Houston PLLC CurrentSince Sep 1, 2023 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1200 Binz St
Houston, TX 77004
Phone (713) 320-4312

1140 Business Center Dr
Ste 490
Houston, TX 77043
Phone (713) 932-1247

1200 Binz St
Ste 540
Houston, TX 77004
Phone (281) 422-3364

1200 Binz St
Ste 900
Houston, TX 77004
Phone (281) 970-6500

800 Peakwood Dr
Ste 5D
Houston, TX 77090
Phone (281) 440-3618

20423 Kuykendahl Rd
Ste 100
Spring, TX 77379
Phone (281) 500-8660

15200 Southwest Fwy
Ste 290
Sugar Land, TX 77478
Phone (281) 980-2010

Organizations & group practices 2

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 3

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1760428106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY STE 1605",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028232",
            "telephone_number": "713-652-3025",
            "fax_number": "713-652-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY STE 1605",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028232",
            "telephone_number": "713-652-3025",
            "fax_number": "713-652-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODET",
        "first_name": "ETHAN",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "G3055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098272002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098272001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.