Individual provider Active NPI

Eric Trevino, MD

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1790959427
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M9705 Issued in TX
Practice address
12700 N Featherwood Dr #260
Houston, TX 77034
Phone
(808) 312-7849
NPI assigned
Apr 14, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0061149 CO
Diagnostic Radiology Physician 2085R0202X M9705 TX Primary
Diagnostic Radiology Physician 2085R0202X 60927882 WA
Diagnostic Radiology Physician 2085R0202X 16386 HI
Diagnostic Radiology Physician 2085R0202X C158890 CA

Addresses

Primary practice location

12700 N Featherwood Dr #260
Houston, TX 77034

Mailing address

3139 W Holcombe Blvd # A39
Houston, TX 77025-1533
Phone (808) 312-7849

Other practice location 1

2101 Calypso Bay Ct
Pearland, TX 77584-1742
Phone (808) 312-7849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190618002279 CA Practitioner - Diagnostic Radiology 8628237922
I20190807002913 TX Practitioner - Diagnostic Radiology 8628237922 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Baylor College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The RoseGroup PAC ID 3072680180, 5 clinicians

Practice addresses (Care Compare)

12700 N Featherwood Dr
Suite 260
Houston, TX 77034-4494
Phone (281) 484-4708

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C158890CAMDDiagnostic Radiology Physician
0061149COMDDiagnostic Radiology Physician
16386HIMDDiagnostic Radiology Physician
M9705TXMDDiagnostic Radiology Physician
60927882WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Singleton Associates PA Diagnostic Radiology CurrentSince Feb 23, 2021 Accepting new patients
Baylor College of Medicine CurrentSince May 21, 2019 Accepting new patients
Baylor College of Medicine CurrentSince May 21, 2019 Accepting new patients
The Rose Diagnostic Radiology CurrentSince Dec 1, 2021 Accepting new patients
Universal Radiology Consultants PC Diagnostic Radiology PastSince Aug 12, 2017 Accepting new patients
Radiology Associates, Inc Diagnostic Radiology Past Accepting new patients

Locations

6575 West Loop S
Ste 275
Bellaire, TX 77401
Phone (281) 484-4708

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

12700 N Featherwood Dr
Ste 260
Houston, TX 77034
Phone (281) 484-4708

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

Organizations & group practices 6

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": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1790959427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3139 W HOLCOMBE BLVD # A39",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251533",
            "telephone_number": "808-312-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 N FEATHERWOOD DR #260",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77034",
            "telephone_number": "808-312-7849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Calypso Bay Ct",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775841742",
            "country_code": "US",
            "telephone_number": "808-312-7849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-14",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "0061149",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "M9705",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "60927882",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "HI",
            "license": "16386",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C158890",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.