Individual provider Active NPI

Jesus Alberto Palma Fuoman

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1780463323
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1015508 Issued in TX
Practice address
9397 Richmond Ave
Houston, TX 77063-3927
Phone
(832) 582-5447
Fax
(832) 582-5457
NPI assigned
Sep 25, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1015508 TX Primary

Addresses

Primary practice location

9397 Richmond Ave
Houston, TX 77063-3927

Mailing address

9397 Richmond Ave
Houston, TX 77063-3927
Phone (832) 582-5447

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240620000493 TX Practitioner - Nurse Practitioner 2769925643 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Center Riviera PLLCGroup PAC ID 9830597020, 2 clinicians

Practice addresses (Care Compare)

3235 Hillcroft St
Houston, TX 77057-5805
Phone (713) 637-4373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Center Riviera PLLC Family CurrentSince Jun 1, 2024 Accepting new patients
Foreman Associates Inc Family CurrentSince Nov 17, 2024 Accepting new patients

Locations

9397 Richmond Ave
Houston, TX 77063
Phone (713) 988-1222

3235 Hillcroft Ave
Houston, TX 77057
Phone (713) 637-4372

8880 Bellaire Blvd
Ste B2
Houston, TX 77036
Phone (832) 409-6530

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDIIDD

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.

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1780463323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9397 RICHMOND AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770633927",
            "telephone_number": "832-582-5447",
            "fax_number": "832-582-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9397 RICHMOND AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770633927",
            "telephone_number": "832-582-5447",
            "fax_number": "832-582-5457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMA FUOMAN",
        "first_name": "JESUS",
        "middle_name": "ALBERTO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1015508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.