Active NPI
Paul Boone, M. D.
- Family Medicine Physician
- Pasadena, TX
National Provider Identifier
1770596157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E8345
- Practice address
- 5050 Crenshaw Road
Suite 100
Pasadena, TX 77505-3139 - Phone
- (281) 487-1000
- Fax
- (281) 487-6158
- NPI assigned
- Aug 15, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E8345 | TX | Primary |
Addresses
Primary practice location
5050 Crenshaw Road
Suite 100
Pasadena, TX 77505-3139
Mailing address
5050 Crenshaw Road
Suite 100
Pasadena, TX 77505-3139
Phone (281) 487-1000
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050331001093 | TX | Practitioner - Family Practice | 3678520707 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343952000000",
"number": "1770596157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5050 CRENSHAW ROAD",
"address_2": "SUITE 100",
"city": "PASADENA",
"state": "TX",
"postal_code": "775053139",
"telephone_number": "281-487-1000",
"fax_number": "281-487-6158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 CRENSHAW ROAD",
"address_2": "SUITE 100",
"city": "PASADENA",
"state": "TX",
"postal_code": "775053139",
"telephone_number": "281-487-1000",
"fax_number": "281-487-6158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOONE",
"first_name": "PAUL",
"credential": "M. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2012-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "E8345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.