Active NPI
Ethan J. Podet, M.D.
- Cardiovascular Disease Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G3055
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 098272002 | Medicaid | TX | |
| 098272001 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Baylor College of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Binz St
Houston, TX 77004-6900
Phone (281) 970-6500
Hospital & facility affiliations
- HCA Houston Healthcare Medical Center
- HCA Houston Healthcare Northwest
- Texas Orthopedic Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G3055 | TX | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty Associates of West Houston PLLC | Current | 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.
-
- Internal Medicine Physician
- Houston, TX
- NPI 1699062349
-
- Specialist
- Houston, TX
- NPI 1437242617
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1073043592
-
- General Acute Care Hospital
- Houston, TX
- NPI 1740450121
-
- General Acute Care Hospital
- Houston, TX
- NPI 1134166192
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.