Individual provider Active NPI

Emilio B Hisse, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Bellaire, TX
National Provider Identifier
1790823037
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
J7005 Issued in TX
Practice address
5555 West Loop S
Suite 435
Bellaire, TX 77401-2100
Phone
(713) 667-3885
Fax
(713) 667-3845
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X J7005 TX Primary

Addresses

Primary practice location

5555 West Loop S
Suite 435
Bellaire, TX 77401-2100

Mailing address

5143 Beechnut St
Houston, TX 77096-1422
Phone (713) 667-3885

Other identifiers 2

IdentifierTypeStateIssuer
139574101MedicaidTX
080931101MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111220000371 TX Practitioner - Thoracic SurgeryPractitioner - Cardiovascular Disease (Cardiology) 7810931086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5555 W Loop S
Suite 435
Bellaire, TX 77401-2400
Phone (713) 667-3885

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Emilio B Hisse, MD, PA Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jan 26, 2000 Accepting new patients

Locations

5555 West Loop S
Ste 435
Bellaire, TX 77401
Phone (713) 485-5000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1790823037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5143 BEECHNUT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770961422",
            "telephone_number": "713-667-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 WEST LOOP S",
            "address_2": "SUITE 435",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012100",
            "telephone_number": "713-667-3885",
            "fax_number": "713-667-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISSE",
        "first_name": "EMILIO",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "J7005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139574101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080931101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.