Organization Active NPI

Houston Gastro Institute PLLC

  • Gastroenterology Physician
  • Katy, TX
National Provider Identifier
1811238454
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
P0163 Issued in TX
Legal business name
HOUSTON GASTRO INSTITUTE PLLC
Practice address
25230 Kingsland Blvd Ste 101
Katy, TX 77494-2097
Phone
(281) 746-9284
Fax
(877) 327-8082
NPI assigned
Mar 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Authorized official

Name
Dr. Vivian A Asamoah, MDNPI 1326191081
Title
Physician
Phone
(410) 940-0561

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
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X P0163 TX Primary

Addresses

Primary practice location

25230 Kingsland Blvd Ste 101
Katy, TX 77494-2097

Mailing address

25230 Kingsland Blvd Ste 101
Katy, TX 77494-2097
Phone (281) 746-9284

Other identifiers 1

IdentifierTypeStateIssuer
P0163OtherTXLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140327001792 TX Part B Supplier - Clinic/Group Practice 5193956563 Receives reassigned benefits from 3 practitioners
Practice locations: Katy, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2222830Houston Gastro Institute, PLLC25230 Kingsland Blvd, Ste 101, Katy, TX 77494ComplianceJul 28, 2027

National Provider Directory

National Provider Directory

Locations

25230 Kingsland Blvd
Ste 101
Katy, TX 77494
Phone (281) 746-9284

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJCADD

Practitioners & affiliated clinicians

Practitioners 5

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": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1811238454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25230 KINGSLAND BLVD STE 101",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942097",
            "telephone_number": "281-746-9284",
            "fax_number": "877-327-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25230 KINGSLAND BLVD STE 101",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942097",
            "telephone_number": "281-746-9284",
            "fax_number": "877-327-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON GASTRO INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "ASAMOAH",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "410-940-0561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "P0163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "P0163",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.