Active NPI
Lorenzo Gustavo Blas, M.D.
- Neurology Physician
- Conroe, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- M9866
- Practice address
- 4015 Interstate 45 N Ste 110
Conroe, TX 77304-5076 - Phone
- (936) 270-3900
- Fax
- (936) 271-1584
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | M9866 | TX | Primary |
Addresses
Primary practice location
4015 Interstate 45 N Ste 110
Conroe, TX 77304-5076
Mailing address
4015 Interstate 45 N Ste 110
Conroe, TX 77304-5076
Phone (936) 270-3900
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
- Neurology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16605 Southwest Fwy
Sugar Land, TX 77479-3500
Phone (281) 275-0800
16605 Southwest Fwy 400 Mob3
Methodist Family Medicine Group
Sugar Land, TX 77479-3500
Phone (281) 275-0800
16605 SW Fwy 410
Methodist Diag Card of Houston
Sugar Land, TX 77479-3500
Phone (281) 274-0148
16811 Southwest Fwy
Suite 200
Sugar Land, TX 77479-4728
Phone (281) 690-4678
17189 I 45 S
Shenandoah, TX 77385-3320
Phone (936) 270-3662
4015 I 45
Suite 120
Conroe, TX 77304-5076
Phone (346) 356-3044
4015 I 45 N
Conroe, TX 77304-5076
Phone (936) 270-4600
4015 Ih 45
Suite 110
Conroe, TX 77304-5076
Phone (202) 507-0700
Hospital & facility affiliations
- Home Care Select
- Houston Methodist the Woodlands Hospital
- Houston Methodist Willowbrook Hospital
- Houston Methodist Hospital
- Aspire Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M9866 | TX | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMH Physician Associates PLLC | Current | Accepting new patients | |
| TMH Physician Associates PLLC | Current | Accepting new patients | |
| Cardiovascular Care Providers, Inc. | Past | Accepting new patients |
Locations
4015 Interstate 45 N
Ste 110
Conroe, TX 77304
Phone (936) 270-3900
16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800
Interoperability endpoints
- lblas363962@direct.houstonmethodist.org
- lblas363962@directhoustonmethodist.org
- lblas42223@direct.stlukeshealth.org
Organizations & group practices 4
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.
-
- Ophthalmology Physician
- Houston, TX
- NPI 1275779225
-
- Otolaryngology Physician
- Houston, TX
- NPI 1902614332
-
- Orthopaedic Surgery Physician
- Spring, TX
- NPI 1043061351
-
- Specialist
- Houston, TX
- NPI 1437242617
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital
- Conroe, TX
- NPI 1093955296
-
- General Acute Care Hospital
- Conroe, TX
- NPI 1114340080
-
- Home Health Agency
- Conroe, TX
- NPI 1407048465
-
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1184179194
-
- General Acute Care Hospital
- Houston, TX
- NPI 1871619254
-
- General Acute Care Hospital
- Houston, TX
- NPI 1548387418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679529600000",
"number": "1760698583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4015 INTERSTATE 45 N STE 110",
"city": "CONROE",
"state": "TX",
"postal_code": "773045076",
"telephone_number": "936-270-3900",
"fax_number": "936-271-1584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4015 INTERSTATE 45 N STE 110",
"city": "CONROE",
"state": "TX",
"postal_code": "773045076",
"telephone_number": "936-270-3900",
"fax_number": "936-271-1584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAS",
"first_name": "LORENZO",
"middle_name": "GUSTAVO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2023-03-23",
"certification_date": "2023-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "M9866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.