NPIMap

Organization Active NPI

Optum Infusion Services 500, Inc.

  • Home Infusion Therapy Pharmacy
  • Houston, TX
National Provider Identifier
1780187237
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
Legal business name
OPTUM INFUSION SERVICES 500, INC.
Practice address
4620 S Sam Houston Pkwy W
Suite 440
Houston, TX 77053-2608
Phone
(713) 357-0092
Fax
(877) 573-6121
NPI assigned
Mar 12, 2018
Organization subpart
Yes
Parent organization
AXELACARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Authorized official

Name
Denise McCabe
Title
Secretary
Phone
(952) 935-1191

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Compounding Pharmacy 3336C0004X
Home Infusion Therapy Pharmacy 3336H0001X Primary

Addresses

Primary practice location

4620 S Sam Houston Pkwy W
Suite 440
Houston, TX 77053-2608

Mailing address

1 Optum Cir Ste 100
Eden Prairie, MN 55344-2956
Phone (800) 328-5979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX3 enrollments
Home infusion therapy
Medicare-enrolled home infusion therapy supplier

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20180825000200 TX DME Supplier - Pharmacy 9537348420 Practice locations: Houston, TX
O20191125001100 TX Part B Supplier - Pharmacy 9537348420 1 other NPI on this enrollment
Practice locations: Houston, TX
O20210427001419 TX Part B Supplier - Home Infusion Therapy Supplier 9537348420 2 other NPIs on this enrollment
Practice locations: Houston, TX

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Optum Infusion Services 500, Inc.4620 S Sam Houston Pkwy W, Houston, TX 77053-2608(832) 738-3703 Epoetin|Immunosuppressive Drugs|Infusion Drugs|External Infusion Pumps and/or Supplies|Implanted Infusion Pumps and/or Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies|Surgical Dressings Accepts assignmentParticipating since Aug 11, 2017

National Provider Directory

National Provider Directory
Tax ID family
Optum Infusion Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 19

Organizations listed as members of this organization in the National Provider Directory.

View all 19

Locations

4900 Rivergrade Rd
Ste E120
Irwindale, CA 91706
Phone (626) 257-9770

2182 Dividend Dr
Columbus, OH 43228
Phone (614) 219-2222

1893 General George Patton Dr
Ste 100
Franklin, TN 37067
Phone (629) 221-3000

8888 Interchange Dr
Rm 119
Houston, TX 77054
Phone (713) 357-0092

4620 S Sam Houston Pkwy W
Ste 440
Houston, TX 77053
Phone (713) 357-0092

8400 Esters Blvd
Ste 185
Irving, TX 75063
Phone (844) 386-2474

5627 University Hts
#500
San Antonio, TX 78249
Phone (844) 553-7131

5627 University Hts
Ste 105
San Antonio, TX 78249
Phone (844) 553-7131

NPI Registry JSON

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1780187237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OPTUM CIR STE 100",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442956",
            "telephone_number": "800-328-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 S SAM HOUSTON PKWY W",
            "address_2": "SUITE 440",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770532608",
            "telephone_number": "713-357-0092",
            "fax_number": "877-573-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM INFUSION SERVICES 500, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AXELACARE, LLC",
        "enumeration_date": "2018-03-12",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "MCCABE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "952-935-1191"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.