Organization Active NPI

Bellaire Cardiovascular Care, PA

  • Cardiovascular Disease Physician
  • Houston, TX
National Provider Identifier
1780977132
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
H3275 Issued in TX
Legal business name
BELLAIRE CARDIOVASCULAR CARE, PA
Practice address
12112 Bellaire Blvd
Houston, TX 77072-2315
Phone
(281) 988-6462
Fax
(281) 988-7462
NPI assigned
May 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Authorized official

Name
Dr. Loi Phi Nguyen, M.D.NPI 1275528481
Title
Physician
Phone
(281) 988-6462

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X H3275 TX Primary

Addresses

Primary practice location

12112 Bellaire Blvd
Houston, TX 77072-2315

Mailing address

12112 Bellaire Blvd
Houston, TX 77072-2315
Phone (281) 988-6462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110909002486 TX Part B Supplier - Clinic/Group Practice 8325218985 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory
Tax ID family
Bellaire Cardiovascular Care PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

12168 Bellaire Blvd
Ste 108
Houston, TX 77072
Phone (281) 988-6462

12112 Bellaire Blvd
Houston, TX 77072
Phone (281) 988-6462

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1780977132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12112 BELLAIRE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770722315",
            "telephone_number": "281-988-6462",
            "fax_number": "281-988-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12112 BELLAIRE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770722315",
            "telephone_number": "281-988-6462",
            "fax_number": "281-988-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLAIRE CARDIOVASCULAR CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LOI",
        "authorized_official_middle_name": "PHI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "281-988-6462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "H3275",
            "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 Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.