Christopher Daniel Fedoruk, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

M0719 Issued in TX

Practice address

18951 N Memorial Dr
Humble, TX 77338-4217

Phone

(281) 540-6453

Fax

(281) 540-7393

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Specialty

Emergency Medicine

Education

Tufts University School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Travis County Emergency Physicians PAGroup PAC ID 0840289468, 289 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations (25 of 26)

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.

• Travis County Emergency Physicians PA

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1962440933
  Medicare reassignment Care Compare group NPD
• Integrative Emergency Services Physician Group-Houston PLLC

  dba IES Houston

  • Emergency Medicine Physician
  • Pasadena, TX
  • NPI 1801458708
  Medicare reassignment NPD
• Usacs Integrated Acute Care Services of Texas, PLLC

  • Internal Medicine Physician
  • Cedar Park, TX
  • NPI 1801300322
  Medicare reassignment NPD
• Memorial Hermann Hospital Based Physician Group

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1295363497
  NPD
• Humble Emergency Physicains Professional Association

  • Emergency Medicine Physician
  • Humble, TX
  • NPI 1013930973
  NPD (past)
• Medical Center Emergency Physicians PA

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1639154230
  NPD (past)
• Methodist Health Centers

  dba Houston Methodist Cypress Hospital

  • General Acute Care Hospital
  • Cypress, TX
  • NPI 1629828405
  NPD (past)
• Trepa PA

  dba Tomball Regional Emergency Physician Associates PA

  • Emergency Medicine Physician
  • Tomball, TX
  • NPI 1063607398
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Methodist Health Centers

  dba Houston Methodist The Woodlands Hospital

  • General Acute Care Hospital
  • The Woodlands, TX
  • NPI 1184179194
  Care Compare affiliation

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246492800000",
    "number": "1790899953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33910 THOUSAND OAK BLVD",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773546268",
            "telephone_number": "281-259-7286",
            "fax_number": "281-259-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18951 N MEMORIAL DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384217",
            "telephone_number": "281-540-6453",
            "fax_number": "281-540-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDORUK",
        "first_name": "CHRISTOPHER",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2009-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M0719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173969005",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173969002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173969003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173969001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX PROVIDER NO",
            "identifier": "8AC843",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheina Farooqui, OTR
• Margo Farris, LPC
• Favor Healthcare Services LLC
• FC Behaviorial Health PLLC
• Jacquene Feathers
• Felicity Counseling and Wellness, PLLC
• Erasmo Feliu Alonso, FNP-C
• Albert John Fenoy Jr., M.D.
• Tyler James Ferguson, MD
• Ariel Nicole Fernandez

• Emergency Medicine Physician in Humble, TX
• Providers in Humble, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; 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.

Verify at the official NPI Registry.