Active NPI
Camden Michael Tissue, M.D.
- Orthopaedic Surgery Physician
- Houston, TX
National Provider Identifier
1780937854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- R2989
- Practice address
- 5656 Kelley St
Houston, TX 77026-1967 - Phone
- (713) 566-4719
- NPI assigned
- Oct 25, 2012
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | R2989 | TX | Primary |
Addresses
Primary practice location
5656 Kelley St
Houston, TX 77026-1967
Mailing address
6400 Fannin St Ste 1700
Houston, TX 77030-1526
Phone (713) 816-5920
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
- Orthopedic Surgery
- Education
- University of Texas Medical School at Houston, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7789 SW Fwy 540
Ortho Southwest
Houston, TX 77074-1835
Phone (713) 486-8200
Hospital & facility affiliations
- Memorial Hermann Hospital System
- Memorial Hermann Memorial City Hospital
- Harris Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.11 of 100
- Quality
- 69.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R2989 | TX | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Multi-Specialty | Current | Accepting new patients |
| Ut Physicians | Multi-Specialty | Current | Accepting new patients |
Locations
7789 Southwest Fwy
Ste 540
Houston, TX 77074
Phone (713) 486-1110
6400 Fannin St
Ste 1700
Houston, TX 77030
Phone (713) 486-5527
5656 Kelley St
Houston, TX 77026
Phone (713) 566-5000
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
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.
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1205900370
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1780937854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 FANNIN ST STE 1700",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301526",
"telephone_number": "713-816-5920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5656 KELLEY ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770261967",
"telephone_number": "713-566-4719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TISSUE",
"first_name": "CAMDEN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-25",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "R2989",
"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 Aug 22, 2022; 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.